Psoas abscess involving a renal-digestive fistula: A case report

Mohammed CHEIKH 1, 2, Mohammed BENAMAR 1, 2, MARLYATOU Diallo 1, 2, Mustapha AHSAINI 1, 2, Soufiane MELLAS 1, 2, Jalal Eddine EL AMMARI 1, 2, Mohammed Fadl TAZI 1, 2, Mohammed Jamal EL FASSI 1, 2 and Moulay Hassan FARIH 1, 2

1 Department of Urology, Hassan II University Hospital, Fez, Morocco.
2 Faculty of Medicine, Pharmacy and Dentistry of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(02), 823–825
Article DOI: 10.30574/wjarr.2024.21.2.0486
 
Publication history: 
Received on 31 December 2023, revised on 08 Februay 2024, accepted on 11 February 2024
 
Abstract: 
A psoas abscess is a rare but not exceptional entity. Given its rarity and non-specific symptomatology, as well as its generally insidious subacute onset, diagnosis and treatment are often delayed. We present the case of a 40-year-old patient with a psoas abscess due to E. coli pyelonephritis, complicated by a renal-colic fistula. Clinicians should bear in mind that a psoas abscess is often diagnosed before primary disease is detected, and should be alert to these primary lesions. Follow-up of at least one year is recommended due to relapse reported in 15-36% of cases up to one year after initial presentation.
 
Keywords: 
Psoas abscess; Renal lithiasis; Pyelonephritis; Renocolic fistula; Surgical drainage; Nephrostomy
 
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Copyright information: 
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0

 

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