Primary Iliopsoas Abscess: Report of a Case

腰大肌膿瘍是在臨床上較為少見的感染。在西方國家大多為泌尿系統、腸胃道或外傷導致之次發性感染。然而，在亞洲國家，腰大肌膿瘍多為原發性，且病患常合併有免疫力低下之情況。治療上，除抗生素之使用外，往往需配合積極之外科手術治療，才能達到最佳之治療效果。我們提出一腰大肌膿瘍，經手術治療成功出院之案例。此病患有C型肝炎及酒精性肝硬化，入院時因發燒及腹脹一度疑為腹膜炎，因其合併有左髖部疼痛之情形，且疼痛部位逐漸上移至左下腹。經電腦斷層檢查發現，左側後腹腔之大範圍膿瘍，在接受積極之手術治療及加護照顧後，病患才逐漸穩定康復。

關鍵字

無資料

並列摘要

Iliopsoas abscess is an uncommonly encountered clinical entity. Although diseases of the digestive tract or urinary tract or trauma can secondarily cause an iliopsoas abscess, the number of ”idiopathic” or ”primary” cases of iliopsoas abscess has been increasing since the later twentieth century. Unlike the intraperitoneal tissues, those of the extraperitoneum may demonstrate little visible reaction to bacterial contamination. Thus prolonged illness and high mortality rate due to delay in diagnosis or inadequate treatments are common. We present a case of iliopsoas abscess with a history of Child's class C liver cirrhosis. After fever and abdominal distention with progressive abdominal pain over left lower quadrant were noted, CT scan revealed a multiloculated abscess over the left retroperitoneum. After aggressive treatment with antibiotic therapy, surgical drainage and intensive care, the patient recovered and was discharged.

並列關鍵字

iliopsoas abscess ； surgical drainage

國際替代計量

Primary Iliopsoas Abscess: Report of a Case

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