General Peritonitis Induced by Rectal Examination: An Unusual Complication of Primary Psoas Abscess

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Abstract

Primary psoas abscess is a relatively rare disease with highest incidence in children and adolescents. It usually presents with fever, abdominal pain and limp. Limping tends to incriminate musculoskeletal problems below the pelvis, but movement of the hip involves the psoas muscle which is mostly retroperitoneal and intimately related to pelvic and intraperitoneal organs. Although the current tendency is to use abdominal sonography, rectal examination is still a valuable step in clinical examination, and may help to assess a pelvic mass or abscess. The following case report describes the elusive nature of psoas abscess and a rare occurrence of abscess rupture and peritonitis, immediately after rectal examination.

Original languageEnglish
Pages (from-to)186-187
Number of pages2
JournalEuropean Journal of Pediatric Surgery
Volume4
Issue number3
DOIs
StatePublished - Jun 1994

Keywords

  • Peritonitis
  • Psoas abscess
  • Rectal examination

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