Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury

Psoas abscess, which is a rarely encountered infection, is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. It is categorised as being primary or secondary. Although there are reports in the literature of secondary psoas abscess from foreign...

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Main Authors: Yunus Güzel, Sadettin Çiftçi, Ali Özdemir, Mehmet Ali Acar
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/634356
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author Yunus Güzel
Sadettin Çiftçi
Ali Özdemir
Mehmet Ali Acar
author_facet Yunus Güzel
Sadettin Çiftçi
Ali Özdemir
Mehmet Ali Acar
author_sort Yunus Güzel
collection DOAJ
description Psoas abscess, which is a rarely encountered infection, is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. It is categorised as being primary or secondary. Although there are reports in the literature of secondary psoas abscess from foreign bodies, to the best of our knowledge, this is the first reported case of psoas abscess developing due to a bullet, following a firearms injury. The patient was first seen in the Emergency Department following a firearms injury in the posterolateral lumbar region and as the neurovascular examination was normal, the patient was discharged after 24 hours of observation. One month later, the patient presented again to the polyclinic with a high temperature and back pain. As a result of physical examination and tests, a diagnosis was made of psoas abscess and percutaneous drainage was applied under ultrasonography guidance. The complaints improved but, 10 days later with an increase in pain and indications of infection, open abscess drainage was applied and the bullet was removed. At the 6-month follow-up examination, the patient had no complaints.
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spelling doaj-art-8ffa82def3ce43079fd65c596e0300a52025-08-20T02:09:29ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/634356634356Iliopsoas Abscess (together with Bullet) Resulting from a Firearms InjuryYunus Güzel0Sadettin Çiftçi1Ali Özdemir2Mehmet Ali Acar3Department of Orthopaedics and Traumatology, School of Medicine, Ordu University, Campus of Cumhuriyet, Center, 52200 Ordu, TurkeyDepartment of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, TurkeyDepartment of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, TurkeyDepartment of Orthopaedics and Traumatology, Selçuklu School of Medicine, Selçuk University, Campus of Alaeddin Keykubat, Selçuklu, 42075 Konya, TurkeyPsoas abscess, which is a rarely encountered infection, is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. It is categorised as being primary or secondary. Although there are reports in the literature of secondary psoas abscess from foreign bodies, to the best of our knowledge, this is the first reported case of psoas abscess developing due to a bullet, following a firearms injury. The patient was first seen in the Emergency Department following a firearms injury in the posterolateral lumbar region and as the neurovascular examination was normal, the patient was discharged after 24 hours of observation. One month later, the patient presented again to the polyclinic with a high temperature and back pain. As a result of physical examination and tests, a diagnosis was made of psoas abscess and percutaneous drainage was applied under ultrasonography guidance. The complaints improved but, 10 days later with an increase in pain and indications of infection, open abscess drainage was applied and the bullet was removed. At the 6-month follow-up examination, the patient had no complaints.http://dx.doi.org/10.1155/2015/634356
spellingShingle Yunus Güzel
Sadettin Çiftçi
Ali Özdemir
Mehmet Ali Acar
Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
Case Reports in Orthopedics
title Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
title_full Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
title_fullStr Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
title_full_unstemmed Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
title_short Iliopsoas Abscess (together with Bullet) Resulting from a Firearms Injury
title_sort iliopsoas abscess together with bullet resulting from a firearms injury
url http://dx.doi.org/10.1155/2015/634356
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AT sadettinciftci iliopsoasabscesstogetherwithbulletresultingfromafirearmsinjury
AT aliozdemir iliopsoasabscesstogetherwithbulletresultingfromafirearmsinjury
AT mehmetaliacar iliopsoasabscesstogetherwithbulletresultingfromafirearmsinjury