ID 109542
著者
石橋, 広樹 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital|Department of Pediatric Surgery, National Kagawa Children’s Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
オオシオ, タケヒト Department of Pediatric Surgery, National Kagawa Children’s Hospital
ソガミ, トモコ Department of Pediatric Surgery, National Kagawa Children’s Hospital
ニイ, アキラ Department of Pediatric Surgery, National Kagawa Children’s Hospital
森, 大樹 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
矢田, 圭吾 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital KAKEN研究者をさがす
島田, 光生 Department of Pediatric Surgery and Pediatric Endoscopic Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
iliopsoas abscess
infant
surgical drainage
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
61
1-2
開始ページ
213
終了ページ
216
並び順
213
発行日
2014-02
EDB ID
297774
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院