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Mahmud Saedon, MB, ChB; Susannah Shore, MRCS; Magdy Hanafy, FRCS

Arch Surg. 2008;143(9):913.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 68-year-old man was admitted to the hospital with fever, right loin pain, and right hip stiffness of 3 days' duration. He has had 3 hospital admissions since February 2005 for right-sided psoas abscess. The abscess was treated with ultrasonographic-guided drainage twice, and 2 weeks before this admission, the patient had an open appendectomy through a Lanz incision with evacuation of the abscess. On physical examination, he was pyrexial and there was a palpable mass in his right loin region. His blood test results showed leukocytosis and an increased C-reactive protein level, and his blood culture results were negative for disease. Computed tomography (CT) showed a recurrent psoas abscess (Figure 1). Laparotomy and abscess evacuation were performed. The patient noted right iliac fossa pain on the fifth postoperative day. Computed tomography showed a track between the ascending colon . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Surgical Department, Leighton Hospital, Crewe, England.

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