ID 109542
Author
Ishibashi, Hiroki Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital|Department of Pediatric Surgery, National Kagawa Children’s Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Oshio, Takehito Department of Pediatric Surgery, National Kagawa Children’s Hospital
Sogami, Tomoko Department of Pediatric Surgery, National Kagawa Children’s Hospital
Nii, Akira Department of Pediatric Surgery, National Kagawa Children’s Hospital
Mori, Hiroki Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yada, Keigo Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital KAKEN Search Researchers
Shimada, Mitsuo Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
iliopsoas abscess
infant
surgical drainage
Content Type
Journal Article
Description
Iliopsoas abscess (IPA) is uncommon in childhood and very rare in the neonate and infant. We present a case of IPA after an umbilical granuloma in an infant. A baby girl with a birth weight of 2,970 g was born at thirty-seven weeks and two days gestation by Caesarean Section. On the fourteenth day after birth, her umbilicus was wet and developed the granulomatous formation. At two months of age, she presented with right leg and groin swelling with mild bluish discoloration and without fever. She had poor movement of her right leg and showed apparent discomfort. Her umbilicus was dry and there was no granulomatous material. Ultrasonography and computed tomography demonstrated an iliopsoas abscess in the right position. Therefore, an extraperitoneal surgical drainage was performed, aspirating yellowish pus. Culture of the purulent material revealed Staphylococcus aureus. Systemic antibiotic therapy was continued for ten days. After three days of drainage, full-range motion of the right leg was gained, and then after eleven days, CT findings comfirmed the disappearance of the iliopsoas abscess. IPA is extremely rare and it is difficult to diagnose. However, it should be included in the differential diagnosis of an infant with poor leg movement and swelling of the groin to the femur.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
1-2
Start Page
213
End Page
216
Sort Key
213
Published Date
2014-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital