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Abstract：
Obturator internus muscle (OIM) and adductor brevis (AB) abscess occurs rarely in adults. This condition mainly affects children experiencing trauma. This paper presents and discusses a unique case of OIM and AB abscess in an adult male that was treated operatively with a combined surgical approach (modified Stoppa and Smith-Peterson) after multiple failed drainage procedures.
METHODS: A 23-year-old male underwent reduction and fixation of his right tibiae shaft fracture with an intramedullary nail. After several referrals to the emergency room due to recurrent symptoms of fever and groin pain, he was finally admitted and diagnosed with OIM and AB abscess and fulminant MRSA sepsis. The operative treatment was performed by addressing the abscess with an unusual combined surgical approach (Smith-Peterson and modified Stoppa) for abscess drainage.
METHODS: Using PubMed, Google scholar and Hadassah Hebrew University search engines, we conducted a literature search using the following keywords: \'pyomyositis\', \'obturator abscess\', \'pelvic abscess\', and \'pelvic osteomyelitis among children and adults\'. Twenty case studies were found (14 children and 6 adults). No cases of combined OIM and AB abscess were found and only one OIM case was reported with methicillin-resistant Staphylococcus (MRSA).
METHODS: A 23-year-old male underwent reduction and fixation of his right tibiae shaft fracture with an intramedullary nail. After several referrals to the emergency room due to recurrent symptoms of fever and groin pain, he was finally admitted and diagnosed with OIM and AB abscess and fulminant MRSA sepsis. The operative treatment was performed by addressing the abscess with an unusual combined surgical approach (Smith-Peterson and modified Stoppa) for abscess drainage.
METHODS: Using PubMed, Google scholar and Hadassah Hebrew University search engines, we conducted a literature search using the following keywords: \'pyomyositis\', \'obturator abscess\', \'pelvic abscess\', and \'pelvic osteomyelitis among children and adults\'. Twenty case studies were found (14 children and 6 adults). No cases of combined OIM and AB abscess were found and only one OIM case was reported with methicillin-resistant Staphylococcus (MRSA).
摘要：
闭孔内肌（OIM）和短收肌（AB）脓肿在成人中很少发生。这种情况主要影响经历创伤的儿童。本文介绍并讨论了成年男性中OIM和AB脓肿的独特病例，该病例在多次引流失败后采用联合手术方法（改良的Stoppa和Smith-Peterson）进行了手术治疗。
方法：一名23岁男性接受了用髓内钉复位和固定他的右胫骨干骨折。由于反复出现发烧和腹股沟疼痛的症状，多次转诊至急诊室后，最终入院并诊断为OIM和AB脓肿以及暴发性MRSA脓毒症.手术治疗是通过采用不寻常的联合手术方法（Smith-Peterson和改良的Stoppa）进行脓肿引流来解决脓肿。
方法：使用PubMed，谷歌学者和哈达萨希伯来大学搜索引擎，我们使用以下关键词进行了文献检索：\'化脓性肌炎\'，\'闭孔脓肿\',\'骨盆脓肿\',和“儿童和成人的骨盆骨髓炎”。发现了20个案例研究（14名儿童和6名成人）。未发现合并OIM和AB脓肿的病例，仅报告了1例耐甲氧西林葡萄球菌（MRSA）的OIM病例。
方法：一名23岁男性接受了用髓内钉复位和固定他的右胫骨干骨折。由于反复出现发烧和腹股沟疼痛的症状，多次转诊至急诊室后，最终入院并诊断为OIM和AB脓肿以及暴发性MRSA脓毒症.手术治疗是通过采用不寻常的联合手术方法（Smith-Peterson和改良的Stoppa）进行脓肿引流来解决脓肿。
方法：使用PubMed，谷歌学者和哈达萨希伯来大学搜索引擎，我们使用以下关键词进行了文献检索：\'化脓性肌炎\'，\'闭孔脓肿\',\'骨盆脓肿\',和“儿童和成人的骨盆骨髓炎”。发现了20个案例研究（14名儿童和6名成人）。未发现合并OIM和AB脓肿的病例，仅报告了1例耐甲氧西林葡萄球菌（MRSA）的OIM病例。
