Document Detail

General peritonitis induced by rectal examination: an unusual complication of primary psoas abscess.
MedLine Citation:
PMID:  8086401     Owner:  NLM     Status:  MEDLINE    
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.
M Livne; F Serour; M Aladjem; I Vinograd
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  4     ISSN:  0939-7248     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-10-17     Completed Date:  1994-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  186-7     Citation Subset:  IM    
Department of Pediatrics, Assaf Harofeh Medical Center, Zerifin, Israel.
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MeSH Terms
Child, Preschool
Peritonitis / etiology*,  microbiology
Physical Examination / adverse effects
Psoas Abscess / complications*,  microbiology
Staphylococcal Infections / complications*

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