Athanaselis Efstratios D, Papageorgiou Fotios, Stefanou Nikolaos, Karachalios Theofilos, Varitimidis Socratis
Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, GRC.
Cureus. 2021 May 19;13(5):e15126. doi: 10.7759/cureus.15126.
Hip periprosthetic joint infections (PJIs) with concomitant retroperitoneal abscesses may not be common clinical situations but they can be easily misdiagnosed affecting the effectiveness of infection control and eradication interventions. We present the case of a 75-year-old female patient with a late hip PJI complicated with iliopsoas abscess that was barely discovered intraoperatively. Literature review supports our recommendation of a high index of suspicion in cases of hip PJI and even routinely imaging examination of pelvis and abdomen for retroperitoneal involvement exclusion.
髋关节假体周围感染（PJI）合并腹膜后脓肿虽是不常见的临床情况，但极易误诊，影响感染控制和根除干预措施的效果。我们报告了一例75岁女性患者，患有晚期髋关节PJI并合并髂腰肌脓肿，术中险些漏诊 。文献综述支持我们的建议，即对于髋关节PJI病例应保持高度怀疑，甚至常规对骨盆和腹部进行影像学检查以排除腹膜后受累情况。
