Pelvic abscess

Case contributed by Dr Saeed Soltany Hosn

Presentation

A 9 years old male presented with fever and a dull aching pain in perineum of 1 week duration. The patient’s mother stated he has pain on defecation. He has also painful digital rectal examination without a palpable mass.

Patient Data

Age: 9-year
Gender: Male
CT

Axial contrast enhanced CT demonstrates a multi-loculated thick-walled cystic lesion in the pre-sacral space of the extra-peritoneal pelvis and in the right ischiorectal fossa without evidence of invasion to adjacent organs. The inflammatory nature of the lesion is underlined by peripheral enhancement, stranding of the adjacent fat and thickening of the mesorectal fascia.

Case Discussion

The findings are consistent with a pelvic abscess. He was placed on appropriate antibiotics and his symptoms resolved after 2 weeks.

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Case information

rID: 21301
Case created: 14th Jan 2013
Last edited: 16th Feb 2016
System: Paediatrics
Inclusion in quiz mode: Included

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