J Korean Orthop Assoc.  2023 Oct;58(5):434-439. 10.4055/jkoa.2023.58.5.434.

Secondary Psoas Abscess with Delayed Treatment due to an Unpredictable Primary Lesion

Affiliations
  • 1Department of Orthopedic Surgery, St Garollo Hospital, Suncheon, Korea
  • 2Departments of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea
  • 3Departments of General Surgery, Gwangju Veterans Hospital, Gwangju, Korea

Abstract

For a secondary psoas abscess, it is essential to find the primary lesion and treat them together. Any delay in diagnosis and treatment for the primary lesion has a risk of increased morbidity and mortality. This paper reports a case in which a secondary psoas abscess occurred due to pyelonephritis of the residual kidney combined with a fistula of the ureter and duodenum in a patient who underwent partial nephrectomy 10 years earlier, but the diagnosis and treatment of the primary lesion were delayed.

Keyword

psoas abscess; pyelonephritis; fistula; duodenum; colon
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