A case of a recurrent iliopsoas abscess caused by a complicatedappendicitis

Yıl 2014, Cilt: 13 Sayı: 2, 70 - 72, 01.08.2014

Mustafa Şit Affan Çakır Özgür İkiz Emrah Posul Bülent Yılmaz Güray Can Mevlüt Kurt

Öz

A secondary adjacent infectious source in the bowel may cause iliopsoas abscesses. Iliopsoas abscess is a rarely encountered entity with the serious complication of a perforated acute appendicitis. A 76-yearold male with a history of recurrent iliopsoas abscess was admitted to our general surgery unit. He had been treated earlier for recurrent right iliopsoas abscess with a percutaneous catheter and antibiotics in other hospitals (5 times since 2007 at 1-year intervals). With the sixth episode, the abscess was confirmed to be caused by perforated appendicitis during laparotomy. Appendectomy and extensive debridement were performed.

Anahtar Kelimeler

Iliopsoas abscess, appendicitis, treatment

Komplike apandisitin neden olduğu tekrarlayan iliopsoas apse olgusu

Öz

Bağırsağa komşu ikincil bir enfeksiyon kaynağı iliopsoas apseye (İPA) neden olabilir. Perfore akut apandisitin ciddi bir komplikasyonu olarak iliopsoas apse nadiren görülebilir. Tekrarlayan iliopsoas apse öyküsü olan 76 yaşındaki erkek hasta, genel cerrahi ünitemize başvurdu. 2007 yılından bu yana tekrarlayan sağ iliopsoas apse nedeniyle diğer hastanelerde, bir yıl aralıkla toplam 5 kez perkütan kateter drenajı ve antibiyotik ile tedavi edildiği öğrenildi. Altıncı atağında, apsenin perfore apandisit nedeniyle olduğu laparotomi sırasında doğrulandı. Apandektomi ve geniş debridman yapıldı.

Anahtar Kelimeler

İliopsoas apse, apandisit, tedavisi

Kaynakça

• Mynter H. Acute psoitis. Buffalo Med Surg J. 1881; 21:202-10.
• Gruenwald I, Abrahamson J, Cohen O. Psoas abscess: Case report and review of the literature. J Urol 1992; 147:1624-6.
• Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg 1986; 10:834-43.
• Agrawal SN, Dwivedi AJ, Khan M. Primary psoas abscess. Dig Dis Sci 2002; 47:2103-5.
• Santaella RO, Fishman EK, Lipsett PA. Primary vs secondary ilio- psoas abscess. Presentation, microbiology, and treatment. Arch Surg 1995; 130:1309-13.
• Navarro López V, Ramos JM, Meseguer V, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore) 2009; 88:120-30.
• Chern CH, Hu SC, Kao WF, et al. Psoas abscess: making an early diagnosis in the ED. Am J Emerg Med 1997; 15:83-8.
• Taiwo B. Psoas abscess: a primer for the internist. South Med J 2001; 94:2-5.
• Mueller PR, Ferrucci JT Jr, Wittenberg J, et al. Iliopsoas abscess: treatment by CT-guided percutaneous catheter drainage. AJR Am J Roentgenol 1984; 142:359-62.
• Hamano S, Kiyoshima K, Nakatsu H, et al. Pyogenic psoas abscess: difficulty in early diagnosis. Urol Int 2003; 71:178-83.
• Cantasdemir M, Kara B, Cebi D, et al. Computed tomography- guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses. Clin Radiol 2003; 58:811-5.