A case of primary psoas abscess presenting as buttock abscess |
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Authors: | Jae Ho Yoo Eung Ha Kim Hyun Seok Song Jang Gyu Cha |
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Affiliation: | (1) Department of Orthopaedic Surgery, Soonchunhyang University Hospital, 1174 Jung-dong, Wonmi-gu, Bucheon, Gyeonggi-do, 420-767, South Korea;(2) Department of Radiology, Soonchunhyang University Hospital, Bucheon, Gyeonggi-do, South Korea |
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Abstract: | Buttock abscess is a rare clinical manifestation from unusual extrapelvic extension of psoas abscess. A 48-year-old woman presented with painful swelling of the buttock with a sense of local heat. Magnetic resonance imaging revealed a large subfascial abscess over the glutei muscles and was traced into the intraabdominal cavity over the iliac wing to the psoas muscle. Both the psoas abscess and the buttock abscess were evacuated via separate approaches. Empirical antibiotic therapy was delivered for 3 weeks. After 6 months, no evidence of recurrence was found. Psoas abscess could be included in the differential diagnosis of buttock abscess. |
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Keywords: | Psoas abscess Buttock abscess |
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