Difficulties in the Diagnosis of Iliopsoas Muscle Abscess in a Patient with Chronic Pain Syndrome
A. A. Vlasova,
T. V. Sorokina,
N. A. Kirillova,
E. A. Starovoytova,
M. A. Balaganskaya,
T. A. Zagromova,
N. Yu. Kolesnik,
V. V. Davydova https://doi.org/10.20514/2226-6704-2023-13-6-459-465
Abstract
Iliopsoas muscle abscess is a rare surgical pathology that, in the beginning with the main location of the muscles, determines the diagnosis of this disease. A timely diagnosis will determine a favorable prognosis for the patient. The article describes the case of an elderly patient with fever and intoxication syndrome against the background of chronic pain syndrome. The long course of the pain syndrome complicated the diagnostic search and forced diagnosis. The iliopsoas abscess includes a differential range of disorders in patients, detection of fever, pain in the legs, antalgic gait with closure of the thigh muscles, and a positive psoas symptom. Informing doctors about the manifestations of iliopsoas muscle abscess, the importance of diagnosing this life-threatening condition.
About the Authors
A. A. Vlasova
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
T. V. Sorokina
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
N. A. Kirillova
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Natalya A. Kirillova
Tomsk
Competing Interests:
The authors declare no conflict of interests
E. A. Starovoytova
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
M. A. Balaganskaya
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
T. A. Zagromova
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
N. Yu. Kolesnik
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
V. V. Davydova
Siberian State Medical University
Russian Federation
Competing Interests:
Russian Federation
Tomsk
Competing Interests:
The authors declare no conflict of interests
References
1. Davidov MI, Subbotin VM, Tokarev MV. The clinical picture, diagnostic and treatment of the acute iliopsoitis. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2011; 11: 68-73. [in Russian]
2. Mallick I.H. Thoufeeq M.H., Rajendran T.P. Iliopsoas abscesses. Postgrad Med J. 2004 Aug; 80(946): 459-62. doi: 10.1136/pgmj.2003.017665.
3. Stolov S.V., Kabanov M.Yu., Semencov K.V. Abscess of the right iliopsoas muscle: rare disease and difficulties in its diagnosis. Grekov’s Bulletin of Surgery. 2020; 179(2):63–67. DOI: 10.24884/0042-4625-2020-179-2-63-67. [in Russian].
4. Gezer A., Erkan S., Saygi Erzik B., Erel C.T. Primary psoas muscle abscess diagnosed and treated during pregnancy: case report and literature review. Infect Dis Obstet Gynecol. 2004 Sep-Dec; 12(3-4): 147-9. doi: 10.1080/10647440400020695.
5. Xu B.Y. Vasanwala F.F., Low S.G. A case report of an atypical presentation of pyogenic iliopsoas abscess. BMC Infect Dis. 2019 Jan 17; 19(1): 58. doi: 10.1186/s12879-019-3675-2.
Review
For citations:
Vlasova A.A., Sorokina T.V., Kirillova N.A., Starovoytova E.A., Balaganskaya M.A., Zagromova T.A., Kolesnik N.Yu., Davydova V.V. Difficulties in the Diagnosis of Iliopsoas Muscle Abscess in a Patient with Chronic Pain Syndrome. The Russian Archives of Internal Medicine. 2023;13(6):459-465. https://doi.org/10.20514/2226-6704-2023-13-6-459-465
Views:
1016
Email this article 