Primary psoas abscess complicating a normal vaginal delivery

Shohreh Shahabi, Joshua P. Klein, Paolo F. Rinaudo*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

BACKGROUND: Psoas abscess is a rare and potentially dangerous complication of normal delivery. CASE: We describe a case of primary psoas abscess after normal vaginal delivery. A young woman presented with fever, left back pain, left lower abdominal pain, and hip pain starting on postpartum day 2. Computed tomography demonstrated a large retroperitoneal collection. Aspiration drainage of the abscess under computed tomography guidance isolated Streptococcus viridans, which responded to antibiotic therapy and percutaneous drainage with complete resolution. CONCLUSION: A high index of suspicion is necessary for diagnosis of psoas abscess, which should be considered in postpartum patients with pyrexia, back and hip pain, and a normal neurologic examination. Computed tomography is effective for diagnosis and allows percutaneous drainage of the abscess.

Original languageEnglish (US)
Pages (from-to)906-909
Number of pages4
JournalObstetrics and Gynecology
Volume99
Issue number5 SUPPL. 1
DOIs
StatePublished - May 7 2002

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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