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Arch Surg. 2008;143(9):914.

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Answer: Septic Arthritis

Based on the overall clinical picture and the magnetic resonance imaging findings, we believe that the patient has had a recurrent psoas abscess secondary to right hip septic arthritis. The previous histologic findings, blood and pus culture results, and laparotomy yielded no clues regarding the etiology of the recurrent abscess. The patient subsequently underwent right hemiarthroplasty, and he recovered uneventfully.

Iliopsoas abscess is a relatively uncommon condition and can present with vague clinical features. Its nonspecific symptoms and occult clinical course are responsible for delayed diagnosis and misdiagnosis.¹ It was first described by Dr Mynter in 1881, who referred to it as "psoitis."² It may occur as a primary infection of the psoas space or as a secondary abscess from the direct extension of infection of adjacent organs. In primary iliopsoas abscess, the source of infection is unknown and the most common pathogen is Staphylococcus aureus (88.4%).² Iliopsoas abscess is . . . [Full Text of this Article]

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Arch Surg. 2008;143(9):913.
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