Document Detail

Non-tuberculous cold abscess of the psoas muscle--an unusual manifestation of colocutaneous fistula.
MedLine Citation:
PMID:  10738890     Owner:  NLM     Status:  MEDLINE    
We report here a case of colocutaneous fistula drained from the retroperitoneal space mimicking a cold abscess of the psoas muscle. A 60-year-old diabetic woman with a 6-year history of a chronic draining sinus over her right thigh had been treated intermittently with antibiotics. At presentation, she had no systemic toxic signs nor other constitutional symptoms. The patient was inadequately managed by curettage at first under the tentative diagnosis of tuberculous cold abscess. After the correct diagnosis of colocutaneous fistula, right nephrectomy and right hemicolectomy with ileotransverse colostomy were done. The patient was well 5 years later without recurrence. This is an atypical presentation of enterocutaneous fistula in an immunodeficient patient that should be emphasized to facilitate the correct diagnosis and early treatment.
S S Lee; Y S Chan; C Y Chen; T S Fu; S W Ueng
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  120     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2000  
Date Detail:
Created Date:  2000-04-21     Completed Date:  2000-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  224-5     Citation Subset:  IM    
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
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MeSH Terms
Colonic Diseases / diagnosis*,  radiography,  surgery
Cutaneous Fistula / diagnosis*,  surgery
Diabetes Complications
Diagnosis, Differential
Follow-Up Studies
Intestinal Fistula / diagnosis*,  radiography,  surgery
Magnetic Resonance Imaging
Middle Aged
Psoas Abscess / etiology*,  radiography,  surgery
Time Factors
Tomography, X-Ray Computed

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