TY - JOUR
T1 - Antalgic flexion of the lower limb
T2 - An unusual presentation of aortoiliac infection with psoas muscle abscess: Four case reports
AU - Melissano, Germano
AU - Civilini, Efrem
AU - Papa, Maurizio
AU - Del Guercio, Raffaele
AU - Chiesa, Roberto
PY - 2005/5
Y1 - 2005/5
N2 - Psoas abscess with aortoiliac infection is rare. Patients are often symptomatic for a long time before the correct diagnosis is made. The authors report 4 cases in which the presenting symptom was an antalgic flexion of the left thigh. In 2 patients the cause was an aortic graft infection with enteric fistula; in the other 2, infection developed after transfemoral endovascular procedures. Open surgical treatment was performed in 3 cases and percutaneous drainage in 1. One surgical patient with a late diagnosis eventually died of sepsis; the other 3 are alive and well at mean follow-up of 14 months.
AB - Psoas abscess with aortoiliac infection is rare. Patients are often symptomatic for a long time before the correct diagnosis is made. The authors report 4 cases in which the presenting symptom was an antalgic flexion of the left thigh. In 2 patients the cause was an aortic graft infection with enteric fistula; in the other 2, infection developed after transfemoral endovascular procedures. Open surgical treatment was performed in 3 cases and percutaneous drainage in 1. One surgical patient with a late diagnosis eventually died of sepsis; the other 3 are alive and well at mean follow-up of 14 months.
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U2 - 10.1177/153857440503900311
DO - 10.1177/153857440503900311
M3 - Article
C2 - 15920659
AN - SCOPUS:19444374711
VL - 39
SP - 287
EP - 292
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
SN - 1538-5744
IS - 3
ER -