Psoas abscess secondary to atypical appendicitis in pregnancy. A case report
The psoas abscess is a rare infectious disease that is difficult to diagnose, characterized by a purulent collection at the level of this muscle, which causes a systemic inflammatory response syndrome. The infection can be primary by hematogenous dissemination, or secondary, from a nearby infectious...
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| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2023-10-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5845 |
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| author | Viviana de la Caridad Sáez Cantero Mario Joel Arroyo Díaz Leonel Hernández Torres María Teresa Medel Agüero |
| author_facet | Viviana de la Caridad Sáez Cantero Mario Joel Arroyo Díaz Leonel Hernández Torres María Teresa Medel Agüero |
| author_sort | Viviana de la Caridad Sáez Cantero |
| collection | DOAJ |
| description | The psoas abscess is a rare infectious disease that is difficult to diagnose, characterized by a purulent collection at the level of this muscle, which causes a systemic inflammatory response syndrome. The infection can be primary by hematogenous dissemination, or secondary, from a nearby infectious focus. Its presentation during pregnancy is rare, and the primary form predominates, which is why it was decided to write this article. The case of a pregnant woman with a gestational age of 28.4 weeks who was admitted due to inguinal pain with subsequent irradiation to the right hip, flank, and lumbar region; flexed posture of the right hip and analgesic gait, as well as the appearance, nine days after the onset of symptoms, of a painful mass between the right iliac fossa and flank it is presented. The findings of the abdominal ultrasound and MRI allowed the diagnosis of an appendiceal plastron with a retrocecal appendix, as well as a right psoas abscess, which were treated with antibiotic therapy and percutaneous drainage of the abscess, with satisfactory results. Secondary psoas abscess may constitute the debut of atypical retrocecal appendicitis, and its diagnosis requires a high level of suspicion due to its non-specific symptoms. |
| format | Article |
| id | doaj-art-7d928efc5a8144d5ac053c8e4329d0a9 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2023-10-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-7d928efc5a8144d5ac053c8e4329d0a92025-01-30T21:29:01ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-10-01215111911272382Psoas abscess secondary to atypical appendicitis in pregnancy. A case reportViviana de la Caridad Sáez Cantero0Mario Joel Arroyo Díaz1Leonel Hernández Torres2María Teresa Medel Agüero3Hospital General Docente Enrique Cabrera. La HabanaHospital General Docente Enrique Cabrera. La HabanaHospital General Docente Enrique Cabrera. La HabanaHospital General Docente Enrique Cabrera. La HabanaThe psoas abscess is a rare infectious disease that is difficult to diagnose, characterized by a purulent collection at the level of this muscle, which causes a systemic inflammatory response syndrome. The infection can be primary by hematogenous dissemination, or secondary, from a nearby infectious focus. Its presentation during pregnancy is rare, and the primary form predominates, which is why it was decided to write this article. The case of a pregnant woman with a gestational age of 28.4 weeks who was admitted due to inguinal pain with subsequent irradiation to the right hip, flank, and lumbar region; flexed posture of the right hip and analgesic gait, as well as the appearance, nine days after the onset of symptoms, of a painful mass between the right iliac fossa and flank it is presented. The findings of the abdominal ultrasound and MRI allowed the diagnosis of an appendiceal plastron with a retrocecal appendix, as well as a right psoas abscess, which were treated with antibiotic therapy and percutaneous drainage of the abscess, with satisfactory results. Secondary psoas abscess may constitute the debut of atypical retrocecal appendicitis, and its diagnosis requires a high level of suspicion due to its non-specific symptoms.http://medisur.sld.cu/index.php/medisur/article/view/5845músculos psoasabsceso del psoasapendicitisembarazo |
| spellingShingle | Viviana de la Caridad Sáez Cantero Mario Joel Arroyo Díaz Leonel Hernández Torres María Teresa Medel Agüero Psoas abscess secondary to atypical appendicitis in pregnancy. A case report Medisur músculos psoas absceso del psoas apendicitis embarazo |
| title | Psoas abscess secondary to atypical appendicitis in pregnancy. A case report |
| title_full | Psoas abscess secondary to atypical appendicitis in pregnancy. A case report |
| title_fullStr | Psoas abscess secondary to atypical appendicitis in pregnancy. A case report |
| title_full_unstemmed | Psoas abscess secondary to atypical appendicitis in pregnancy. A case report |
| title_short | Psoas abscess secondary to atypical appendicitis in pregnancy. A case report |
| title_sort | psoas abscess secondary to atypical appendicitis in pregnancy a case report |
| topic | músculos psoas absceso del psoas apendicitis embarazo |
| url | http://medisur.sld.cu/index.php/medisur/article/view/5845 |
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