Secondary psoas abscess after an open cholecystectomy and a common bile duct exploration

Marlon Uriel Alvarado; Cristhian Alejandro Colindres; Luis José Pinto; Cintia G Padilla; Carlos E Reyes

doi:10.1016/j.ijscr.2019.08.026

Secondary psoas abscess after an open cholecystectomy and a common bile duct exploration

Int J Surg Case Rep. 2019:63:53-55. doi: 10.1016/j.ijscr.2019.08.026. Epub 2019 Aug 31.

Authors

Marlon Uriel Alvarado¹, Cristhian Alejandro Colindres², Luis José Pinto³, Cintia G Padilla⁴, Carlos E Reyes⁵

Affiliations

¹ Emergency Department, Hospital San Francisco, Juticalpa, Honduras. Electronic address: marlonrubi12@gmail.com.
² Emergency Department, Hospital San Francisco, Juticalpa, Honduras. Electronic address: cristhian_022col@yahoo.es.
³ Emergency Department, Hospital San Francisco, Juticalpa, Honduras. Electronic address: luis.pinto@unah.hn.
⁴ Pediatrics Department, Hospital Santa Teresa, Universidad Nacional Autonoma de Honduras, Comayagua, Comayagua, Colonia Lopez, Honduras. Electronic address: cintiagabriela84@yahoo.com.
⁵ Surgery Deparment, Hospital Escuela Universitario, Universidad Nacional Autonoma de Honduras, Tegucigalpa, Francisco Morazán, Colonia Kennedy primera entrada, Honduras. Electronic address: rendon84@hotmail.com.

Abstract

Background: A psoas abscess presents a diagnostic challenge, due to its rarity, non-specific clinical manifestations and wide range of etiologies.

Case report: We describe a case of a secondary psoas abscess containing Staphylococus aureus following open cholecystectomy and common bile duct exploration in a woman who had no history or evidence of comorbidity.

Conclusions: Two possible causes of this abscess are performance of the Kocher maneuver during the surgical procedure and external contamination. This case adds cholecystectomy and cholecystitis to the list of known causes of psoas abscesses.

Keywords: Case report; Cholecystectomy; Complication; Psoas abscess.