Primary iliopsoas abscess and pregnancy
- PMID: 20664425
- DOI: 10.1097/AOG.0b013e3181e77cb8
Primary iliopsoas abscess and pregnancy
Abstract
Background: Iliopsoas abscesses, a rare complication in pregnancy, typically present as a secondary infection due to direct spread of another nearby infection.
Case: A 30-year-old multigravid patient with a 10-year history of intravenous heroin use and chronic lower-back pain, presented at 23 0/7 weeks of gestation with multiple cutaneous abscesses. As her back pain worsened during antepartum hospitalization, a primary iliopsoas abscess with underlying osteomyelitis was identified requiring percutaneous computed tomography-guided drainage along with extended-course intravenous antibiotics. After treatment and methadone detoxification, her pregnancy resulted in a successful vaginal delivery.
Conclusion: Primary iliopsoas abscess should be considered in the differential diagnosis of low-back pain among high-risk pregnant women. Clinicians should be vigilant in identifying high-risk factors and aggressive in treating this rare and potentially fatal complication.
Comment in
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Psoas abscess in obstetrics: uncommon condition with common presentations.Obstet Gynecol. 2010 Aug;116 Suppl 2:473-474. doi: 10.1097/AOG.0b013e3181eae617. Obstet Gynecol. 2010. PMID: 20664422 No abstract available.
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