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Case Report
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| Delayed presentation of psoas abscess previously misdiagnosed as deep venous thrombosis: A potentially devastating error | ||||||
| Victor Kong1, George Oosthuizen2, Musa Mthethwa3, Kriban Reddy3, Damian Clarke2 | ||||||
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1Surgical Registrar, Department of Surgery, Edendale Hospital, Pietermaritzburg, KwaZulu Natal, South Africa.
2Senior Consultant Surgeon, Department of Surgery, Edendale Hospital, Pietermaritzburg, KwaZulu Natal, South Africa. 3Consultant Surgeon, Department of Surgery, Edendale Hospital, Pietermaritzburg, KwaZulu Natal, South Africa. | ||||||
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| How to cite this article: |
| Kong V, Oosthuizen G, Mthethwa M, Reddy K, Clarke D. Delayed presentation of psoas abscess previously misdiagnosed as deep venous thrombosis: A potentially devastating error. International Journal of Case Reports and Images 2013;4(2):111–114. |
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Abstract
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Introduction:
Psoas abscess is an uncommon condition seen only occasionally in daily surgical practice. Often, its clinical presentation is non-specific, frequently causing diagnostic uncertainty. Late presentation, delayed recognition and inappropriate management of this condition can often precede eventual diagnosis, especially in resource poor settings.
Case Report: We describe the case of a 22-year-old man who presented with a large psoas abscess which unfortunately had been misdiagnosed and treated as a deep venous thrombosis. Conclusion: This unusual case highlights the difficulties often encountered by clinicians when assessing and managing a patient with a psoas abscess. The diagnosis of a psoas abscess remains challenging. Clinicians must always remain vigilant to this diagnosis. Early recognition, confirmation with imaging and swift drainage remains the key to optimising patient's outcome. | |
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Keywords:
Psoas, Abscess, Diagnosis, Error
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Author Contributions
Victor Kong – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published George Oosthuizen – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Musa Mthethwa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Kriban Reddy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Damian Clarke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Victor Kong et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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