Psoas abscess case 응급실 케이스

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"Psoas abscess case 응급실 케이스"에 대한 내용입니다.

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.Date of Admission: 2021. 05. 20

.Chief complaint:
Left back pain (Onset: 2021.05.14)
Both buttock pain (Onset: 2021.05.14)
Both leg weakness (Onset: 2021.05.18)

.Present illness:
89세 여환 spinal stenosis로 본원 통증의학과에서 통증관리 중인 마리스텔라 거주자로, 9일전 왼쪽 허리통증과 양쪽 엉덩이 통증으로 Block하였고 7일전부터 증상 심해졌으며 3일전부터 양측하지에 저린감을 동반한 힘빠짐도 발생하여 응급실 내원하였음.

<중 략>

Pathogenesis
.Underlying anatomy of psoas muscle associated with risk of infection
Abundant venous blood supply
Overlying lymphatics
In close proximity to other organs

.Types
Primary psoas abscess
Occurs due to hematogenous or lymphatic spread of infection from a distant site
Accounts for 30% of cases
More common in children
Typically occurs in patients with immunocompromised condition, injection drug use, renal failure

참고 자료

Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J. 2004;80(946):459-462. doi:10.1136/pgmj.2003.017665
Shields D, Robinson P, Crowley TP. Iliopsoas abscess--a review and update on the literature. Int J Surg. 2012;10(9):466-9. doi: 10.1016/j.ijsu.2012.08.016. Epub 2012 Sep 5. PMID: 22960467.