Psoas muscle abscess simulating acute appendicits: A case report

Background and ObjectivesWe provided care for a 47-year-old female with a history of lung carcinoma and bony metastases who sustained a pathologic fracture of the right acetabulum causing severe and uncontrolled pain in the right groin. Her pain was rated as 8-10 on a 10-point visual analog scale (VAS). Her terminal disease and poor surgical risk precluded therapeutic operative intervention. Consequently, a neurolytic block of the lumbar plexus was performed as a palliative measure.MethodsA modified inguinal paravascular (lumbar plexus) block technique was used. A 17-gauge Tuohy needle was inserted in the groin area just lateral to femoral artery and 1 cm below the inguinal ligament. A guide wire was threaded through the needle and subsequently an angiogram catheter was introduced over the wire into the psoas muscle. Radiographic confirmation of the position was obtained, and the catheter was secured in place. A prognostic block using an infusion of 0.25% bupivacaine at 5 mL/h was initiated for the first 2 days. On the third day a neurolytic block with 6% phenol was performed.ResultsMarked pain relief was experienced by the patient (VAS: 0-1). Sensory block in the femoral, lateral femoral cutaneous, and obturator nerve distributions was elicited. Motor weakness in the femoral nerve was demonstrated. Narcotic use was markedly reduced, and the patient was discharged to home in a pain-free state.ConclusionsThis case report supports the feasibility of placing a catheter via a modified anterior inguinal paravascular block technique and its subsequent use for both local anesthetic infusion and neurolytic block of the lumbar plexus.

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CASE REPORT OF HEMATOMA IN PSOAS MUSCLE

Anesthesiology ◽

10.1097/00000542-195707000-00018 ◽

1957 ◽

Vol 18 (4) ◽

pp. 651-651

Keyword(s):

Case Report ◽

Psoas Muscle

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Schwanomma of the Left Iliohypogastric Nerve: A Case Report and Technical Consideration

Journal of Science Foundation ◽

10.3329/jsf.v17i2.51143 ◽

2021 ◽

Vol 17 (2) ◽

pp. 71-74

Author(s):

Md. Shafiul Alam ◽

Kaisar Haroon ◽

Tayseer Farzana ◽

Forhad Ahmed ◽

Tania Taher

Keyword(s):

Case Report ◽

Schwann Cells ◽

Psoas Muscle ◽

Histopathological Study ◽

Total Excision ◽

Hypogastric Nerve ◽

Technical Consideration ◽

Nerve Sheath

Schwannomas are encapsulated tumors arising from Schwann cells of the nerve sheath, and are usually solitary sporadic lesions. The schwannoma of the ilio-hypogastric nerve especially in the retro-petoneal space is very rare. We are reporting a case of the schwannoma of the left ilio-hypagastric nerve over the psoas muscle. The diagnosis was done by ultarsonogrsphy and MRI. The histopathological study confirmed the diagnosis. The tumour was excised through retro-peritoneal approach. By this approach total excision of the tumour with preservation of ilio-hypogastric nerve is possible. Journal of Science Foundation 2019;17(2):71-74

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Crohn's Disease with a Left Psoas Muscle Abscess and an Abdominal Wall Abscess : a Case Report

The Showa University Journal of Medical Sciences ◽

10.15369/sujms1989.15.351 ◽

2003 ◽

Vol 15 (4) ◽

pp. 351-356 ◽

Cited By ~ 1

Author(s):

Naokuni YASUDA ◽

Makoto WATANABE ◽

Tomokazu KUSANO ◽

Akira TSUNODA ◽

Mitsuo KUSANO

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Abdominal Wall ◽

Psoas Muscle ◽

Abdominal Wall Abscess ◽

Left Psoas Muscle

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Treatment of osteonecrosis of the femoral head by botulinum toxin type A injection to the psoas muscle -A case report-

Anesthesia and Pain Medicine ◽

10.17085/apm.2017.12.1.85 ◽

2017 ◽

Vol 12 (1) ◽

pp. 85-90

Author(s):

Sung-Yul Kim ◽

Dong-Hyun Lee ◽

Sun-Hee Kim ◽

Yong-Hyun Cho

Keyword(s):

Case Report ◽

Botulinum Toxin ◽

Femoral Head ◽

Botulinum Toxin Type A ◽

Psoas Muscle ◽

Type A ◽

Botulinum Toxin Type

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COMPLICATED LUMBAR TUBERCULOUS SPONDYLODISCITIS IN DISSEMINATED TUBERCULOSIS, TREATED USING A NON-CONVENTIONAL ANTERIOR SUPPORT SYSTEM FOR HYDROSTATIC DISTRACTION: A CASE REPORT

Acta Ortopédica Brasileira ◽

10.1590/1413-785220182606178095 ◽

2018 ◽

Vol 26 (6) ◽

pp. 401-405

Author(s):

Alex Oliveira de Araujo ◽

Thiago Queiroz Soares ◽

Alessandro Gonzalez Torelli ◽

Allan Hiroshi de Araujo Ono ◽

Raphael Martus Marcon ◽

...

Keyword(s):

Case Report ◽

Support System ◽

Extrapulmonary Tuberculosis ◽

Psoas Muscle ◽

Spinal Instability ◽

Lumbar Region ◽

Level Of Evidence ◽

Disseminated Tuberculosis ◽

Anterior Support ◽

Tuberculous Spondylodiscitis

ABSTRACT Objective: To describe a case of disseminated tuberculosis affecting the lumbar spine that was treated using a non-conventional anterior support system. Background: Tuberculous spondylodiscitis is the most common and most severe form of extrapulmonary tuberculosis. Although antibiotic therapy is the most frequently used treatment, surgery is necessary in cases of neurological deficit, spinal instability, significant deformity, severe sepsis, paravertebral and epidural abscesses or in cases wherein clinical treatment has failed. A surgical procedure is also indicated when a biopsy is required. With the development of new methods for reconstruction and fixation of the spine, complete debridement of the tuberculous foci has become an increasingly common approach, but there is a lack consensus on the best technique. Methods and results: The patient suffered from disseminated tuberculosis affecting the lumbar region of the spine, with an abscess in the psoas muscle. He underwent extensive debridement via both anterior and posterior approaches, using a non-conventional anterior support system that promotes hydrostatic distraction. Conclusions: Treatment using the hydrostatic distraction system was able to reestablish both the stability and anatomy of the lumbar curve. Level of evidence IV, Case report.

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