Chuang M T, Liaw W S, Wang W Y, Yeh C Y, Lin S L, Hsiao C H
Department of Surgery, Taiwan Provincial Taoyuan General Hospital, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1995 May;55(5):412-6.
Psoas muscle abscess is an uncommon and challenging entity. The present report describes a 64-year-old man presenting with right flank mass. Abdominal computerized tomography showed a right psoas abscess. Extraperitoneal drainage was performed, and pathology revealed metastatic mucinous adenocarcinoma. After further study, laparotomy and right hemicolectomy were performed under the impression of colon cancer. The final pathology showed mucinous cystadenocarcinoma of appendix. The literature about the etiology, diagnosis and treatment of psoas abscess are reviewed. Additionally, the treatment and prognosis for mucinous cystadenocarcinoma of the appendix are noted.
腰大肌脓肿是一种罕见且具有挑战性的病症。本报告描述了一名64岁男性，表现为右侧腰部肿块。腹部计算机断层扫描显示右侧腰大肌脓肿。进行了腹膜外引流，病理显示为转移性黏液腺癌。经过进一步检查，在结肠癌的诊断下进行了剖腹手术和右半结肠切除术。最终病理显示为阑尾黏液性囊腺癌。本文回顾了有关腰大肌脓肿的病因、诊断和治疗的文献。此外，还提及了阑尾黏液性囊腺癌的治疗和预后。
