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Medline ® Abstract for Reference 69

of 'Approach to acute abdominal pain in pregnant and postpartum women'

69
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Primary psoas muscle abscess after an uncomplicated spontaneous vaginal delivery.
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Young OM, Werner E, Sfakianaki AK
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Obstet Gynecol. 2010;116 Suppl 2:477.
 
BACKGROUND: The occurrence of a psoas abscess after a spontaneous vaginal delivery is a rare postpartum complication with a significant mortality risk.
CASE: A 17-year-old primiparous patient presented 3 weeks after an uncomplicated spontaneous vaginal delivery with fever refractory to antibiotics. Imaging revealed the patient to have a 4x4-cm abscess of the right iliopsoas muscle. The patient underwent drainage of the abscess along with the administration of intravenous antibiotics.
CONCLUSION: Prompt recognition of and subsequent effective treatment for a psoas abscess are crucial to avoid potential long-term morbidity and even mortality.
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Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA. omar.young@yale.edu
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