Iliopsoas Abscess Treated With Percutaneous Drainage During Dual Antiplatelet Therapy After Myocardial Infarction: A Case Report
- VernacularTitle:心筋梗塞に対する薬剤溶出性ステント留置翌日に発見され，2剤併用抗血小板療法下での経皮的ドレナージ術で改善した，後腹膜腔に及ぶ腸腰筋膿瘍の1例
- Author:
Koji TAKAHASHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2019;68(4):523-528
- CountryJapan
- Language:Japanese
- Abstract: A man in his 80’s presented with sudden onset chest pain in the outpatient waiting room at our hospital and was diagnosed with acute myocardial infarction. Emergency coronary angiography was performed, and a drug-eluting stent was placed in the occluded right coronary artery. After the procedure, the patient developed high-grade fever (40°) with chills. Computed tomography revealed retroperitoneal and iliopsoas abscesses. The patient’s condition did not improve with the administration of antibiotics, so a drainage procedure was deemed necessary. Because of the stent, he was prescribed dual antiplatelet therapy (DAPT) with aspirin and prasugrel. Two days after stent placement, percutaneous abscess drainage was performed with the patient continuing DAPT. No bleeding occurred when a drainage tube was placed. The tube was withdrawn 19 days after insertion. He was then discharged 11 days after removal of the tube.
