Right psoas muscle abscess

Case contributed by Dr Aneta Kecler - Pietrzyk

Presentation

Admitted with fever and ongoing lumbar spine pain. History of remote trauma to lumbar area. Increased inflammatory markers.

Patient Data

Age: 50 years
Gender: Male
CT

Subtle hypodense lesion with vague rim enhancement within the right psoas muscle

Case Discussion

Contrast-enhanced CT abdomen and pelvis demonstrated slightly rim-enhancing hypo dense lesion in the right psoas muscle.

Given patient fever and raised inflammatory markers, an abscess was the main diagnosis, however haematoma was considered a differential diagnosis.

The patient reported prior trauma to the right lumbar region which most likely resulted in psoas muscle heamatoma that got infected. 

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Case information

rID: 52353
Case created: 3rd Apr 2017
Last edited: 23rd Jul 2017
Inclusion in quiz mode: Included

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