Antalgic flexion of the lower limb: An unusual presentation of aortoiliac infection with psoas muscle abscess: Four case reports

Germano Melissano, Efrem Civilini, Maurizio Papa, Raffaele Del Guercio, Roberto Chiesa

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)287-292
Number of pages6
JournalVascular and Endovascular Surgery
Volume39
Issue number3
DOIs
Publication statusPublished - May 2005

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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