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Antalgic Flexion of the Lower Limb: An Unusual Presentation of Aortoiliac Infection with Psoas Muscle Abscess

Four Case Reports

Efrem Civilini, MD

Maurizio Papa, MD

Raffaele Del Guercio, MD

Roberto Chiesa, MD

Milan, Italy

Psoas abscess with aortoiliac infection is rare. Patients are often symptomatic for a long time before the correct diagnosis is made. The authors report 4 cases in which the presenting symptom was an antalgic flexion of the left thigh. In 2 patients the cause was an aortic graft infection with enteric fistula; in the other 2, infection developed after transfemoral endovascular procedures. Open surgical treatment was performed in 3 cases and percutaneous drainage in 1. One surgical patient with a late diagnosis eventually died of sepsis; the other 3 are alive and well at mean follow-up of 14 months.

Vascular and Endovascular Surgery, Vol. 39, No. 3, 287-292 (2005)
DOI: 10.1177/153857440503900311


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