Sobaih Bader, Sobaih Loay, Zamil Fahad Al
Bader Sobaih, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Loay Sobaih, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Pak J Med Sci. 2021 Mar-Apr;37(2):605-607. doi: 10.12669/pjms.37.2.3816.
Iliopsoas abscess (IPA) is uncommon condition in children, diagnosis might be delayed because of nonspecific signs and symptoms. Only few patients have classical clinical triad at presentation in the form of fever, back pain, and inguinal pain at hip flexion. The diagnosis most likely to be reached in the first time by the use of abdominal computed tomography (CT) scan. We present a Saudi child with nonspecific signs and symptoms of fever, flank pain, and limping who was diagnosed as IPA by abdominal ultrasound and CT scan. The case was managed with intravenous antibiotics along with transcutaneous abscess drainage.
髂腰肌脓肿(IPA)在儿童中并不常见,由于体征和症状不具特异性,诊断可能会延迟。只有少数患者在就诊时具有典型的临床三联征,即发热、背痛和髋关节屈曲时腹股沟疼痛。首次诊断最有可能通过腹部计算机断层扫描(CT)来实现。我们报告。我们报告了一名沙特儿童,他有发热、胁腹疼痛和跛行等非特异性体征和症状,通过腹部超声和CT扫描被诊断为IPA。该病例采用静脉注射抗生素并结合经皮脓肿引流进行治疗。