Wadood Ali, Odeh Abdulrahman, Rana Khizer, Zaman Shafquat
Radiology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
BMJ Case Rep. 2017 Jun 19;2017:bcr-2016-218715. doi: 10.1136/bcr-2016-218715.
A middle-aged man was admitted with worsening hip pain, fevers and reduced mobility. These symptoms were preceded by a mechanical fall but despite regular analgesia, symptoms did not resolve. His prior medical history included ischaemic heart disease, hypertension and hypercholesterolaemia. A trauma and orthopaedic review revealed a painful left hip with reduced range of motion. In addition, some mild tenderness in the left iliac fossa was noted. Blood tests revealed markedly raised inflammatory markers. Plain radiographs and ultrasound were normal. MRI scan found a massive left iliopsoas collection secondary to perforated diverticular disease of the sigmoid colon. The patient was managed with intravenous antibiotics and the collection was drained percutaneously. Approximately 500 mL of pus was aspirated. The patient made an excellent recovery with interval imaging showing a reduction in the collection size.
一名中年男性因髋部疼痛加剧、发热和活动能力下降入院。这些症状之前有一次机械性跌倒，但尽管定期服用镇痛药，症状仍未缓解。他既往的病史包括缺血性心脏病、高血压和高胆固醇血症。创伤与骨科会诊发现左髋部疼痛且活动范围减小。此外，还注意到左髂窝有一些轻度压痛。血液检查显示炎症标志物明显升高。X线平片和超声检查均正常。磁共振成像（MRI）扫描发现左髂腰肌有大量积液，继发于乙状结肠憩室穿孔。患者接受了静脉抗生素治疗，并经皮引流积液。抽出了约500毫升脓液。患者恢复良好，间隔成像显示积液量减少。
