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Global Journal of Surgery. Volume 2, Issue 4 (2011) pp. 180-182
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Research Article
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Ileo-psoas abscess caused by remnant faecolith
after laparoscopic appendicectomy
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Jennifer Moffata, Arin K Sahaa, Mathew Vargheseb, Tarig ME Ahmeda, D Tangb
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a Department of General Surgery, Airedale General Hospital, Steeton. BD20 6TD, UK
b Department of Orthopaedic Surgery, Airedale General Hospital, Steeton. BD20 6TD, UK
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Abstract |
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Ilio-psoas abscess is an often missed diagnosis and may be slowly progressive. The aetiology is primary or secondary and has been reported to occur after intra-abdominal pathology. A healthy 61-year-old Caucasian woman, who had had an uncomplicated laparoscopic appendicectomy five years previously, presented with a two-month history of worsening pain in her right hip and groin and reduced mobility in the hip joint. Subsequent imaging investigations confirmed an ilio-psoas abscess secondary to a remnant faecolith. This case emphasises the possible difficulties in the diagnosis of ilio-psoas abscess and is of particular interest to general practitioners, emergency department doctors and orthopaedic surgeons. In addition, it is the first reported case of ilio-psoas abscess caused by remnant faecolith after appendicectomy and highlights the importance of thorough peritoneal lavage after surgery for appendicitis.
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Keywords |
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Psoas abscess; Appendicectomy; General Surgery
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