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Jamsari G, Choi JDW, Kakala B, Hu H, Sandler G. Conservative Treatment of an Unusual Presentation of Iliopsoas Phlegmon Related to Infected Intrauterine Contraceptive Device. Case Rep Surg 2024; 2024:9916070. [PMID: 38352167 PMCID: PMC10864045 DOI: 10.1155/2024/9916070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 12/15/2023] [Accepted: 01/27/2024] [Indexed: 02/16/2024] Open
Abstract
Iliopsoas phlegmon/abscess is uncommon, and individuals often present with nonspecific symptoms. Diagnosis is often delayed and almost always requires advanced imaging techniques such as computed tomography or magnetic resonance imaging. We report a case of a 51-year-old woman who presented with right lower limb swelling and associated rash with imaging demonstrating iliopsoas abscess secondary to an infected intrauterine contraceptive device. This rare case highlights the nonspecific presentation of iliopsoas abscess and the need to consider unusual sources of infection such as an intrauterine contraceptive device in women presenting with iliopsoas phlegmon and abscess.
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Affiliation(s)
- Giuleta Jamsari
- Department of Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Joseph Do Woong Choi
- Department of Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
- Discipline of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia
| | - Benedict Kakala
- Department of Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Hillary Hu
- Department of Obstetrics and Gynaecology, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
- Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Westmead Hospital, Westmead, NSW 2145, Australia
| | - Gideon Sandler
- Department of Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
- Discipline of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia
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Affiliation(s)
- Rutger J Lely
- Department of Radiology, St Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, the Netherlands.
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