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.