ABSTRACT
Case presentation
Here we present a case of a gigantic iliopsoas abscess (IPA) that was
discovered late because of Alexander’s disease.
An IPA is a collection of pus within the compartments of the psoas major
and iliopsoas muscles; IPA typically has three symptoms: fever, back
pain, and limitation of hip motion, but patients with communication
difficulties may be unable to report symptoms, which may delay detection
of an IPA.
Because IPA are relatively easy to diagnose with computed tomography,
physicians are encouraged to perform these studies immediately in such
patients. Percutaneous drainage is a minimally invasive, efficient, and
safe procedure with good clinical recovery. Rapid diagnosis and
treatment can avoid serious infection and surgery.
Key Clinical Message:
This case highlights the importance of early diagnosis of iliopsoas
abscess in patients with communication difficulties and appropriate
treatment to prevent further complications.