Psoas Abscess after Radical Abdominal Hysterectomy: A Case Report and Review of the Literature
Dimitrios Spiliopoulos*, Khadra Galaal, Keith Godfrey , Raj Naik
Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK
Abstract
We report a case of a 38-year- old woman who presented with right lower quadrant abdominal pain and occasional fevers, five weeks after radical abdominal hysterectomy and pelvic node dissection for cervical carcinoma. After initial empirical antibiotic treatment failure, a decision was made to proceed with percutaneous drainage of a right psoas abscess. The antibiotic regimen was adjusted according to the culture results from the abscess. The patient's condition improved in the next 36 hours. The patient was discharged six days later on oral antibiotic treatment for four weeks.
Psoas abscess is a rare condition in general obstetrics and gynecology and its incidence in gynecological oncology is very low. This is a potentially fatal condition with difficult diagnosis and treatment. Appropriate management of these cases should include suspicion and confirmation of the diagnosis and aggressive medical and surgical treatment.
Keywords: Cervical carcinoma, psoas abscess, radical hysterectomy.
Article Information
Article History:
Received Date: 20/5/2010
Revision Received Date: 5/8/2010
Acceptance Date: 6/8/2010
Electronic publication date: 29/10/2010
Collection year: 2010
© Spiliopoulos et al.; Licensee Bentham Open
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (
http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
* Address correspondence to this author at the Gateshead Health NHS Foundation Trust, Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, NE9 6SX, UK; Tel: (0044) 01914820000; Fax: 004401914456192; E-mail: dimspiliop@yahoo.com
Open Peer Review Details |
Manuscript submitted on 20-5-2010 |
Original Manuscript |
Psoas Abscess after Radical Abdominal Hysterectomy: A Case Report and Review of the Literature |