1.Infantile psoas abscess.
Annals of the Academy of Medicine, Singapore 2013;42(8):415-416
Female
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Humans
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Infant
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Psoas Abscess
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diagnosis
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drug therapy
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etiology
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Tuberculosis
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complications
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diagnosis
;
drug therapy
2.Iliopsoas abscess due to brenner tumor malignancy: a case report.
Ming-Xiang ZOU ; Jing LI ; Guo-Hua LYU
Chinese Medical Journal 2015;128(3):423-424
Adult
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Brenner Tumor
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complications
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diagnostic imaging
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Female
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Humans
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Psoas Abscess
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diagnosis
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diagnostic imaging
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etiology
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Radiography
3.Psoas Abscess with Hip Contracture in a Patient with Crohn's Disease.
Hye Jeong PARK ; Yong Cheol JEON ; Kyeonga LEE ; Tae Jun BYUN ; Tae Yeob KIM ; Chang Soo EUN ; Dong Soo HAN ; Joo Hyun SOHN
The Korean Journal of Gastroenterology 2008;52(3):188-191
A psoas abscess (PA) is a rare clinical entity but is potentially serious condition which presents diagnostic and therapeutic challenges. The diagnosis is frequently delayed due to its variable and nonspecific features and occult clinical course. The delay in diagnosis and treatment of PA is the major poor prognostic factor. We describe herein a case of the sterile psoas abscess complicating Cronh's disease which presented as hip flexion contracture. A 29-year-old man, at remission stage of CD involving ileocolic segment, was admitted due to pain from hip contracture. He had no bloody diarrhea and no abdominal pain. PA was confirmed by abdominal ultrasound. PA with hip contracture was completely treated with surgical excision, irrigation, drainage, and antibiotics. PA was sterile and there was no evidence of a fistulous communication from the bowel. Once suspected, aggressive diagnostic work up and definitive operative intervention is needed.
Adult
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Crohn Disease/*complications/drug therapy
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Diagnosis, Differential
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Drainage
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Hip Contracture/complications/*diagnosis/surgery
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Humans
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Male
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Psoas Abscess/*diagnosis/etiology/ultrasonography
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Tomography, X-Ray Computed
4.A Case of Mucinous Adenocarcinoma of the Colon Presenting with Psoas Abscess.
Kang Nyeong LEE ; Hang Lak LEE ; Jai Hoon YOON ; Seung Chul CHO ; Oh Young LEE ; Byung Chul YOON ; Ho Soon CHOI ; Joon Soo HAHM
The Korean Journal of Gastroenterology 2008;52(2):120-123
A colon cancer presenting as psoas muscle abscess is very rare. A 27-year-old woman was admitted with abdominal pain, fever, and discomfort on left thigh. She had been administered on anti-tuberculosis medication for colonic tuberculosis since 3 months ago. Abdominal CT scan revealed a mass lesion obstructing the descending colon with an abscess formation within left psoas muscle. We undertook segmental resection of obstructing descending colon after the percutaneous drainage of psoas abscess. The pathologic report was mucinous adenocarcinoma of the colon. We report the first case of colon cancer manifested with psoas abscess in Korea, with the review of literature associated with the correlation of colon cancer and tuberculosis.
Adenocarcinoma, Mucinous/complications/*diagnosis/pathology
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Adult
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Colectomy
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Colon, Descending
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Colonic Neoplasms/complications/*diagnosis/pathology
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Drainage
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Female
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Humans
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Psoas Abscess/*diagnosis/etiology
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Tomography, X-Ray Computed
5.A Case of Henoch-Schonlein Purpura with Psoas Muscle Abscess and Full-blown Gastrointestinal Complications.
Hee Jung LEE ; Sun Moon KIM ; Sung Ro YUN ; Tae Hee LEE ; Euyi Hyeog IM ; Kyu Chan HUH ; Young Woo CHOI ; Young Woo KANG
The Korean Journal of Gastroenterology 2007;49(2):114-118
Henoch-Schonlein purpura (HSP) is a vasculitis involving small vessels of skin, joints, gastrointestinal (GI) tract, and kidneys. The patients typically show palpable purpura with one or more characteristic manifestations including abdominal pain, hematuria or arthritis. HSP shows gastrointestinal symptoms in 50~85% of patients, and in 14~40% of patients GI symptoms precede purpuric rash which makes the diagnosis of HSP difficult. We present a case of Henoch-Schonlein purpura with GI bleeding, septic shock by ileal microperforation, small bowel obstruction as a result of ileal stricture and psoas muscle abscess.
Abdominal Pain
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Anti-Inflammatory Agents/therapeutic use
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Colonoscopy
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Gastrointestinal Diseases/*diagnosis/etiology/pathology
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Gastrointestinal Hemorrhage/diagnosis
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Humans
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Male
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Middle Aged
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Prednisolone/therapeutic use
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Psoas Abscess/etiology/*radiography
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Purpura, Schoenlein-Henoch/*complications/*diagnosis/pathology
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Tomography, X-Ray Computed
6.A Case of Delayed-onset Multiple Metastatic Infection following Liver Abscess.
Kang Hoon LEE ; Sun Young MOON ; In Ae KIM ; So Young KWON ; Jeong Han KIM ; Won Hyeok CHOE ; Yong Wonn KWON
The Korean Journal of Gastroenterology 2015;66(4):237-241
Klebsiella pneumoniae liver abscess has a tendency to spread to distant sites early in the course of disease and to involve multiple organs synchronously. A 59-year-old male was admitted because of liver abscess accompanied by fever and abdominal pain. The patient underwent percutaneous catheter drainage and received intravenous antibiotics. Symptom relief was achieved after the treatment as well as marked reduction in the size of the abscess. Despite proper treatment of the liver abscess, however, patient developed multiple metastatic infections in a non-concurrent manner: left and right endophthalmitis, psoas abscess, and infectious spondylitis at 5, 23, 30 and 65 days after initial manifestations of liver abscess, respectively. Each infectious episode followed one another after resolution of the former one. For each episode of metastatic infections, the patient promptly underwent treatment with systemic and local antibiotics, interventional abscess drainage, and surgical treatments as needed. The patient fully recovered without sequelae after the use of intravenous antibiotics for an extended period of time. Herein, we report a case of K. pneumoniae liver abscess complicated with delayed-onset multiple metastatic infections.
Anti-Bacterial Agents/therapeutic use
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Ceftriaxone/therapeutic use
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Drainage
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Endophthalmitis/diagnosis/drug therapy
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Humans
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Injections, Intravenous
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Klebsiella Infections/complications/*diagnosis/drug therapy
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Klebsiella pneumoniae/isolation & purification
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Liver Abscess/*diagnosis/etiology
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Male
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Middle Aged
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Psoas Abscess/diagnosis/etiology
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Spondylitis/diagnosis/drug therapy
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Tomography, X-Ray Computed