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Iliopsoas Abscess: An Unexpected Sequela of Dilation and Evacuation

Pereira, Nigel MD; Bardawil, Elise C. BA; Patel, Meghan A. MD; Brannon, Ryan K. MD; Podolsky, Michael L. MD; Nyirjesy, Paul MD

Journal of Lower Genital Tract Disease: April 2014 - Volume 18 - Issue 2 - p E34–E37
doi: 10.1097/LGT.0b013e318296c1ac
Case Reports

Objective This study aimed to report the case of a patient who developed an iliopsoas abscess after a dilation and evacuation for a midtrimester fetal demise.

Materials and Methods This is a case report of a 35-year-old woman who underwent a dilation and evacuation at 17 weeks’ gestation because of a preterm premature rupture of membranes and fetal demise. Four days later, she presented with fevers, chills, malaise, and right lower back, hip, and thigh pain. Magnetic resonance imaging of the abdomen and pelvis revealed a 2.3 × 1.6-cm right iliopsoas abscess.

Results The patient underwent computed tomography–guided drainage of the abscess and made an uneventful recovery after completion of an antibiotic course and physical therapy.

Conclusions An iliopsoas abscess should be considered in the differential diagnosis of any woman presenting with fevers, chills, and unilateral lower back, hip, and thigh pain in a radicular pattern after a recent dilation and evacuation.

Iliopsoas abscesses are rare extrauterine infections that may present with fevers, chills, and unilateral lower back, hip, and thigh pain after dilation and evacuation.

Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA

Reprint requests to: Nigel Pereira, MD, Department of Obstetrics and Gynecology, 245 N 15th St, MS 495, 16th Floor, New College Building, Philadelphia, PA 19102. E-mail: Nigel.Pereira@drexelmed.edu

Elise C. Bardawil is an MD candidate at Drexel University College of Medicine, Philadelphia, PA.

The authors have declared they have no conflicts of interest.

Copyright © 2014 by the American Society for Colposcopy and Cervical Pathology