{Reference Type}: Case Reports
{Title}: Rapid pulmonary fistulization complicating a psoas abscess with intraoperative hypoxemia: a rare case report.
{Author}: Ziani H;Elazzouzi I;Chibani A;Arfaoui M;Benhlima A;Elhamzaoui H;Alilou M;Chajai S;Eddouali A;Slaihi Z;Chaieri A;Awab A;
{Journal}: Ann Med Surg (Lond)
{Volume}: 86
{Issue}: 6
{Year}: 2024 Jun
暂无{DOI}: 10.1097/MS9.0000000000002071
{Abstract}: <B>UNASSIGNED: </B>Psoas abscess is a relatively uncommon condition that can present with vague clinical features. Patients with this condition often present in different ways to different specialties leading to delays in diagnosis and management.<BR><B>UNASSIGNED: </B>The authors present a 47-year-old woman with complaint of vague abdominal pain, fever, and raised inflammatory markers who underwent CT examination. On CT, a collection was noted in the right iliac fossa that extended along the right retroperitoneum through the retrocrural space in the right lung base communicating with a cavitary pulmonary lesion with air-fluid level. The psoas abscess was drained.<BR><B>UNASSIGNED: </B>Our case presents a number of rare and intriguing features. Notably, the patient, who was immunocompetent, experienced a primary Staphylococcus infection that swiftly progressed to a sizable pulmonary abscess, a phenomenon uncommon in such hosts. The rarity further extends to the source of infection, originating abdominally but culminating in thoracic complications through contiguous spread from a retroperitoneal site. Despite the potential severity, the patient's outcome was remarkably positive.<BR><B>UNASSIGNED: </B>This case underscores the potential rapidity of pulmonary involvement in psoas abscesses, emphasizing the need for heightened awareness and consideration of respiratory signs during preoperative assessments.