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Primary psoas abscess extending to thigh adductors: case report

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An interesting case report to pass along: A 45-year-old male with no significant past medical history presented with pain in the left thigh, and limitation of movement at the left hip and knee joint for one month. Ultrasound, CT, and MRI revealed a liquid mass in the left psoas. Percutaneous drainage of this mass yielded 300 ml pus from the psoas. After surge…ry, the patient reported relief of pain; however, ten days after removal of the drainage tube, the patient complained of persistent pain in his left thigh. CT revealed that the psoas abscess had extended inferiorly, and involved the entire set of adductors of the left thigh. Open surgical drainage was performed at the flank and at the thigh, yielding 350 ml of pus from the thigh.” Never heard of an abscessed psoas draining into the adductors.” Have any of you even seen a psoas abcess?
http://www.biomedcentral.com/1471-2474/11/176/abstract

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