scholarly journals Pseudocyst of the Psoas: a case report

2017 ◽  
Vol 4 (7) ◽  
pp. 2367
Author(s):  
C. Danny Darlington ◽  
S. Carbin Joseph ◽  
G. Fatima Shirly Anitha

Psoas abscess is usually tuberculous or pyogenic in etiology. Pancreatitis of the tail of pancreas can cause psoas pseudocyst, especially on the left side. Infection of such pseudocysts can mimic pyogenic psoas abscess, and is more common in diabetics. We report a 25-year-old non-diabetic man with acute severe pancreatitis, who developed infected left psoas abscess on follow up. The psoas abscess was managed successfully by percutaneous drainage and antibiotics.

Author(s):  
C Lucero ◽  
F Díaz-Dilernia ◽  
F Comba ◽  
G Zanotti ◽  
F Piccaluga ◽  
...  

Case We present a case of a 70-year-old woman with simultaneous periprosthetic joint infection (PJI) of both hips and left knee due to a bilateral psoas abscess. The patient underwent debridement and implants removal with the consequent reimplantation in a sequential six-stage revision surgery. At four years of follow-up and in spite of the patient’s comorbidities and current PJI presentation, she maintains full activities of daily living without restrictions. Conclusion Accurate and early diagnosis of a psoas abscess is crucial. This case report provides experience of a complex scenario, the decision-making involved and the outcomes of an underdiagnosed complication.


2001 ◽  
Vol 12 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Mohammed Al Saghier ◽  
Mark C Taylor ◽  
Howard M Greenberg

Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities,Echinococcus granulosisinfection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.


2000 ◽  
Vol 61 (6) ◽  
pp. 1622-1625
Author(s):  
Takashi IMAI ◽  
Yasuki UNEMURA ◽  
Satoshi YAMAZAKI ◽  
Hitoshi YAMADERA ◽  
Susumu KOBAYASHI ◽  
...  

2015 ◽  
Vol 11 (2) ◽  
pp. 34-36 ◽  
Author(s):  
TP Rakesh ◽  
A Kidangazhiathmana ◽  
K Jyothish ◽  
PC Amrutha ◽  
TV Satheeshbabu

Tuberculosis (TB) remains as one of the leading opportunistic infection in patients with Human immunodefficiency virus (HIV) infection in developing countries. Here we report a case of huge primary psoas abscess of tubercular origin in an HIV patient who presented with hip pain and limping. Psoas sign was evident on examination and CT scan of abdomen revealed a large iliopsoas abscess extending from abdomen to upper part of thigh. Patient underwent percutaneous drainage of abscess and improved with anti-tuberculous drugs while continuing anti-retroviral therapy.DOI: http://dx.doi.org/10.3126/saarctb.v11i2.12437SAARC J TUBER LUNG DIS HIV/AIDS, 2014;XI(2), Page: 34-36


Author(s):  
Ranjana R. Khorgade ◽  
Pramod R. Bhise ◽  
Mukta M. Deshmukh

Iliopsoas abscess (IPA), a collection of pus in the iliopsoas compartment that has traditionally been classified into primary and secondary according to its origin, is an infrequent condition worldwide. Mostly active TB is confined to the lung, but approximately 15% are extrapulmonary. The most common types of extrapulmonary TB are, in descending order of frequency, pleural, lymphatic, bone and joint, genitourinary, miliary disease, meningitis, and peritonitis. Tuberculosis (TB) remains as one of the leading opportunistic infection in patients in developing countries. Here we report a rare case of psoas abscess of tubercular origin in patient who presented with back pain and limping. Diagnosis is done based on history, physical examination, plain radiology, microbiological investigation and CT scan of abdomen which revealed a large psoas abscess caused by M. tuberculosis. Patient was diagnosed as psoas abscess due to Mycobacterium tuberculosis and treated empirically with DOTS category I and significant functional improvement was noted on follow up.


HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S551
Author(s):  
P. Vanerio ◽  
P. Morgade ◽  
G. San Martin ◽  
M. Abelleira ◽  
F. Rodriguez ◽  
...  

2012 ◽  
Vol 53 (1) ◽  
pp. 76-80 ◽  
Author(s):  
Tomohiro Matsumoto ◽  
Takuji Yamagami ◽  
Hiroyuki Morishita ◽  
Shigeharu Iida ◽  
Shunsuke Asai ◽  
...  

Background Reports on CT-guided percutaneous drainage within the intervertebral space for pyogenic spondylodiscitis with a secondary psoas abscess are limited. Purpose To evaluate CT-guided percutaneous drainage within the intervertebral space for pyogenic spondylodiscitis and a secondary psoas abscess in which the two sites appear to communicate. Material and Methods Eight patients with pyogenic spondylodiscitis and a secondary psoas abscess showing communication with the intradiscal abscess underwent CT-guided percutaneous drainage within the intervertebral space. The clinical outcome was retrospectively assessed. Results An 8-French pigtail catheter within the intervertebral space was successfully placed in all patients. Seven patients responded well to this treatment. The one remaining patient who had developed septic shock before the procedure died on the following day. The mean duration of drainage was 32 days (13–70 days). Only one patient with persistent back pain underwent surgery for stabilization of the spine after the improvement of inflammation. Among seven patients responding well, long-term follow-up (91–801 days, mean 292 days) was conducted in six patients excluding one patient who died of asphyxiation due to aspiration unrelated to the procedure within 30 days after the procedure. In these six patients, no recurrence of either pyogenic spondylodiscitis or the psoas abscess was noted. Conclusion CT-guided percutaneous drainage within the intervertebral space can be effective for patients with pyogenic spondylodiscitis and a secondary psoas abscess if the psoas abscess communicates with the intradiscal abscess.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


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