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Case report
Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation
  1. Chilaka Suresh,
  2. Oseen Hajilal Shaikh,
  3. Mude Naveen Naik and
  4. Uday Shamrao Kumbhar
  1. Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}yahoo.co.in

Abstract

Iliopsoas abscess is common in immunocompromised patients and rarely presents with empyema thoracis. We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.

  • infections
  • musculoskeletal and joint disorders
  • empyema

https://doi.org/10.1136/bcr-2021-244697

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    Footnotes

    • Contributors CS was involved in the preparation of the manuscript. MNN was involved in the collection of data. OHS was involved in the interpretation of data. USK was involved in critical review and revision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.