Cargando…

Combined approach for intrapelvic abscess drainage among adults

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Khoury, Ayman, Mosheiff, Rami, Nassrallah, Khalil, Khoury, Amal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750540/
https://www.ncbi.nlm.nih.gov/pubmed/33364294
http://dx.doi.org/10.1016/j.tcr.2020.100383
_version_ 1783625507211837440
author Khoury, Ayman
Mosheiff, Rami
Nassrallah, Khalil
Khoury, Amal
author_facet Khoury, Ayman
Mosheiff, Rami
Nassrallah, Khalil
Khoury, Amal
author_sort Khoury, Ayman
collection PubMed
description 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. CASE: 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).
format Online
Article
Text
id pubmed-7750540
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-77505402020-12-23 Combined approach for intrapelvic abscess drainage among adults Khoury, Ayman Mosheiff, Rami Nassrallah, Khalil Khoury, Amal Trauma Case Rep Case Report 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. CASE: 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). Elsevier 2020-12-13 /pmc/articles/PMC7750540/ /pubmed/33364294 http://dx.doi.org/10.1016/j.tcr.2020.100383 Text en © 2020 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Khoury, Ayman
Mosheiff, Rami
Nassrallah, Khalil
Khoury, Amal
Combined approach for intrapelvic abscess drainage among adults
title Combined approach for intrapelvic abscess drainage among adults
title_full Combined approach for intrapelvic abscess drainage among adults
title_fullStr Combined approach for intrapelvic abscess drainage among adults
title_full_unstemmed Combined approach for intrapelvic abscess drainage among adults
title_short Combined approach for intrapelvic abscess drainage among adults
title_sort combined approach for intrapelvic abscess drainage among adults
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750540/
https://www.ncbi.nlm.nih.gov/pubmed/33364294
http://dx.doi.org/10.1016/j.tcr.2020.100383
work_keys_str_mv AT khouryayman combinedapproachforintrapelvicabscessdrainageamongadults
AT mosheifframi combinedapproachforintrapelvicabscessdrainageamongadults
AT nassrallahkhalil combinedapproachforintrapelvicabscessdrainageamongadults
AT khouryamal combinedapproachforintrapelvicabscessdrainageamongadults