J Korean Assoc Pediatr Surg.  2013 Dec;19(2):150-155. 10.13029/jkaps.2013.19.2.150.

Tuberculous Iliopsoas Muscle Abscess Associated with Multiple Intraabdominal and Thoracic Abscesses in 9-year-old Boy

• Jung E
• Park WH
• Choi SO

• KMID: 1961506
• DOI: http://doi.org/10.13029/jkaps.2013.19.2.150

Abstract

Tuberculous Iliopsoas muscle abscess is a rare manifestation in patient with extrapulmonary tuberculosis and hardly observed in developed country. Paradoxical response to anti-tuberculous medication could make difficult therapeutic decision to clinicians. The authors report a case of tuberculous iliopsoas muscle abscess with multiple intraabdominal and thoracic abscesses in 9 year-old-boy who presented paradoxical response to anti-tuberculous treatment.

Keyword

Tuberculosis; Abscess; Psoas abscess; Paradoxical response

MeSH Terms

Abscess*
Child*
Developed Countries
Humans
Male*
Muscles*
Psoas Abscess
Tuberculosis

Figure

• 

  Fig. 1 (A). A cross sectional view of the abdominal CT with contrast shows huge iliopsoas abscess (27 × 7.6 × 9.5 cm) with well enhancing rim on the right side of the abdomen. (B). In an axial view, variable sized multiple intraabdominal abscesses were also seen under the subcapsular area of the liver and left subphrenic area.

• 

  Fig. 2 (A). A cross sectional view of the abdominal CT with contrast shows 16 × 4.6 cm sized iliopsoas abscess with enhancing rim on the right side of the abdomen. (B). In an axial view, increased sized multiple intraabdominal abscesses were seen under the subcapsular area of the liver and left subphrenic area.

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