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Obstet Gynecol. 2010 Aug;116 Suppl 2:477-9. doi: 10.1097/AOG.0b013e3181e24ce6.

Primary psoas muscle abscess after an uncomplicated spontaneous vaginal delivery.

Author information

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA. omar.young@yale.edu

Abstract

BACKGROUND:

The occurrence of a psoas abscess after a spontaneous vaginal delivery is a rare postpartum complication with a significant mortality risk.

CASE:

A 17-year-old primiparous patient presented 3 weeks after an uncomplicated spontaneous vaginal delivery with fever refractory to antibiotics. Imaging revealed the patient to have a 4x4-cm abscess of the right iliopsoas muscle. The patient underwent drainage of the abscess along with the administration of intravenous antibiotics.

CONCLUSION:

Prompt recognition of and subsequent effective treatment for a psoas abscess are crucial to avoid potential long-term morbidity and even mortality.

PMID:
20664424
[PubMed - indexed for MEDLINE]
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