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Medline ® Abstract for Reference 69

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

Primary psoas muscle abscess after an uncomplicated spontaneous vaginal delivery.
Young OM, Werner E, Sfakianaki AK
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.
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