Retroperitoneal Abscess: A Case Series and Literature Review
Abstract
Retroperitoneal abscess is one of the rare abscesses within the retroperitoneal space that has higher mortality and morbidity. The obscurity of exact clinical manifestations and diagnosis of the disease causes neglected inflammatory process which leads to worse progression. In this case series and literature review we describes four patients with retroperitoneal abscess. We report the clinical manifestation and treatment of retroperitoneal abscess. The patient often came with chief complaints of pain and feeling of fullness in the waist. CT scan usually revealed a hypodense lesion. The treatment consists of pharmacological treatment and surgical procedures. Nonspecific clinical manifestations often lead to misdiagnosis which causes the progression of disease. Early diagnosis and treatment is crucial for better outcome.
Keywords
References
Akhan, O., Durmaz, H., Balc?, S., Birgi, E., Çiftçi, T., & Ak?nc?, D. (2020). Percutaneous drainage of retroperitoneal abscesses: Variables for success, failure, and recurrence. Diagnostic and Interventional Radiology, 26(2), 124–130. https://doi.org/10.5152/dir.2019.19199
Alfarissi, F., Putri, N. M., & Atmoko, W. (2021). Multidisciplinary approach for large retroperitoneal abscess management: A case report. International Journal of Surgery Case Reports, 80(71), 105668. https://doi.org/10.1016/j.ijscr.2021.105668
Aljohani, E., Almadi, F., & Alshehri, A. (2020). Fournier Gangrene , Empyema and Retroperitoneal Abscess as a Rare Complication of Perforated Appendicitis : A Case Report. Juniper Online Journal of Case Studies, 11(1). https://doi.org/10.19080/JOJCS.2020.11.555804
Alvarado, M. U., Colindres, C. A., Pinto, L. J., Padilla, C. G., & Reyes, C. E. (2019). Secondary psoas abscess after an open cholecystectomy and a common bile duct exploration. International Journal of Surgery Case Reports, 63, 53–55. https://doi.org/10.1016/j.ijscr.2019.08.026
Aslan, R., Özgökçe, M., Ery?lmaz, R., Duran, M. A., Y?ld?zhan, M., & Taken, K. (2018). Retroperitoneal abscesses: Origin, ethiology and percutaneous treatment. Eastern Journal of Medicine, 23(4), 269–274. https://doi.org/10.5505/ejm.2018.69875
Atif, M., Malik, A. T., & Noordin, S. (2018). Psoas abscess masquerading as a prosthetic hip infection : A case report. International Journal of Surgery Case Reports, 42, 17–19. https://doi.org/10.1016/j.ijscr.2017.11.054
Elshazzly, M., Bashjawish, F., Shahid, M. A., Marrero, D. A., & Horowitz, J. (2018). A challenging case of retroperitoneal abscess in a post-partum Crohn’s disease patient. American Journal of Case Reports, 19, 773–777. https://doi.org/10.12659/AJCR.909545
Garcia-Prieto, F., & Casillas-Villamor, A. (2018). Psoas Abscess Associated with Pubic Symphysis Osteomyelitis. American Journal of Medicine, 131(9), e381–e382. https://doi.org/10.1016/j.amjmed.2018.03.028
Hesketh, R. L., Fong, M., Shepherd, S., & Kalidindi, V. (2021). Acute appendicitis and retroperitoneal abscess: rare complications of sigmoid diverticulitis. Radiology Case Reports, 16(8), 1961–1964. https://doi.org/10.1016/j.radcr.2021.04.075
Huang, S. H., Lo, W. O., Lin, C. M., Hsieh, T. S., Wang, S. F., Tsai, S. W., & Chen, K. C. (2015). Retroperitoneal abscess: 7-year experience of 29 cases in a tertiary care center in Taiwan. Urological Science, 26(3), 218–221. https://doi.org/10.1016/j.urols.2015.01.009
Iida, K., Yoshikane, K., Tono, O., Tarukado, K., & Harimaya, K. (2019). The effectiveness of a percutaneous endoscopic approach in a patient with psoas and epidural abscess accompanied by pyogenic spondylitis: A case report. Journal of Medical Case Reports, 13(1), 1–6. https://doi.org/10.1186/s13256-019-2193-6
Ishan, U. G. H., Thilakasiri, M. C. K., Weeratunga, P. N., & Lanerolle, R. D. (2020). Successful Medical Management of a Retroperitoneal Abscess: A Difficult Diagnosis in Pyrexia of Unknown Origin. Case Reports in Infectious Diseases, 2020, 1–5. https://doi.org/10.1155/2020/6174293
Lee, H., Sung, K., & Cho, J. (2019). Retroperitoneal abscess with pylephlebitis caused by lumbar acupuncture: A case report. BMC Surgery, 19(1), 1–5. https://doi.org/10.1186/s12893-019-0613-6
Li, Y., Funakoshi, H., Shiga, T., & Fujitani, S. (2017). Iliopsoas abscess. Cleveland Clinic Journal of Medicine, 84(11), 833–834. https://doi.org/10.3949/ccjm.84a.17002
Li, Z., Tang, Y., Wang, P., & Ren, J. (2021). Diagnosis and Treatment of Retroperitoneal Infection. Surgical Infections, 22(5), 477–484. https://doi.org/10.1089/sur.2020.126
Mehdorn, M., Petersen, T. O., Bartels, M., Jansen-Winkeln, B., & Kassahun, W. T. (2016). Psoas abscess secondary to retroperitoneal distant metastases from squamous cell carcinoma of the cervix with thrombosis of the inferior vena cava and duodenal infiltration treated by Whipple procedure: A case report and review of the literature. BMC Surgery, 16(1), 1–6. https://doi.org/10.1186/s12893-016-0169-7
Mosquera, M. S., Antonia, M., González-orozco, A., Rivera, C. J., & Cabrera, P. (2019). Retroperitoneoscopic drainage of a retroperitoneal abscess when open surgery is not an option : a novel surgical technique. 9(3), 60–62. https://doi.org/10.15406/mojcr.2019.09.00305
Palacios-Zertuche, J. T., Limas-Rodríguez, Q. G., González-Cantú, C. M., Pérez-Salazar, D. A., Saldivar-Martínez, D. E., & Muñoz-Maldonado, G. E. (2016). Case report: Intestinal tuberculosis with perforation of the colon and psoas abscess associated with Escherichia coli ESBL. Medicina Universitaria, 18(72), 165–168. https://doi.org/10.1016/j.rmu.2016.05.005
Parikh, R., Tsakanov, S., & Jamnagerwalla, M. (2018). Retroperitoneal abscess caused by foreign body ingestion. ANZ Journal of Surgery, 88(12), E849–E850. https://doi.org/10.1111/ans.13930
Park, S., & You, M. W. (2021). Retroperitoneal abscess and retropneumoperitoneum arising from a gastric intramural abscess: A case demonstrating the gastric bare area. Korean Journal of Internal Medicine, 36(1), 231. https://doi.org/10.3904/kjim.2020.112
Raney, A., & Raman, S. (2017). Retroperitoneal abscess after transanal minimally invasive surgery: Case report and review of literature. Journal of Coloproctology, 37(4), 323–327. https://doi.org/10.1016/j.jcol.2017.06.007
Ruscelli, P., Renzi, C., Polistena, A., Sanguinetti, A., Avenia, N., Popivanov, G., Cirocchi, R., Lancia, M., Gioia, S., & Tabola, R. (2018). Clinical signs of retroperitoneal abscess from colonic perforation. Medicine (United States), 97(45), 1–6. https://doi.org/10.1097/MD.0000000000013176
Sato, T., Kudo, D., & Kushimoto, S. (2021). Epidemiological features and outcomes of patients with psoas abscess: A retrospective cohort study. Annals of Medicine and Surgery, 62(January), 114–118. https://doi.org/10.1016/j.amsu.2021.01.040
Scaglia, M., Lugani, G., Cassini, M., Ambrosini, C., & Magnan, B. (2020). Delayed diagnosis and treatment of a psoas abscess as a link between spondylodiscitis and septic necrosis of the femoral head: A case report. Acta Biomedica, 91(July 2018), 241–247. https://doi.org/10.23750/abm.v91i4-S.9627
Snell, R. S. (2018). Clinical Anatomy by Systems. Lippincott Williams & Wilkins.
St., L. (2013). Mosby’s medical dictionary 9th ed. Mosby Elsevier.
Tufano, A., Minelli, R., Di Lascio, G., Delicato, G., Baffigo, G., & Signore, S. (2020). Infected kidney stone progressing to perinephric abscess and thoracic empyema. Archivio Italiano Di Urologia e Andrologia, 92(3), 203–204. https://doi.org/10.4081/AIUA.2020.3.203
Yamamichi, F., Shigemura, K., Kitagawa, K., Arakawa, S., Tokimatsu, I., & Fujisawa, M. (2017). Should We Change the Initial Treatment of Renal or Retroperitoneal Abscess in High Risk Patients? Urologia Internationalis, 98(2), 222–227. https://doi.org/10.1159/000454887
Zou, D. X., Zhou, J. L., Zhou, X. X., & Jiang, X. B. (2017). Clinical efficacy of CT-guided percutaneous huge ilio-psoas abscesses drainage combined with posterior approach surgery for the management of dorsal and lumbar spinal tuberculosis in adults. Orthopaedics and Traumatology: Surgery and Research, 103(8), 1251–1255. https://doi.org/10.1016/j.otsr.2017.07.015
Article Statistic
Abstract view : 71 timesPDF (Bahasa Indonesia) views : 11 times
Dimensions Metrics
How To Cite This :
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Aditya Fajar Bahagianto

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.