Case of Psoas Abscess after Robotic-Assisted Laparoscopic Hysterectomy and Pelvic Lymphadenectomy.

J Minim Invasive Gynecol

Division of Minimally Invasive Gynecologic Surgery and Robotics, NYU Winthrop Hospital, Mineola, New York; Department of Obstetrics and Gynecology, Weill Cornell Medical College, Cornell University, Ithaca, New York; Department of Obstetrics, Gynecology and Reproductive Medicine, School of Medicine, Stony Brook University, Stony Brook, New York. Electronic address:

Published: May 2019

Iliopsoas abscess (IPA) is a rare condition seen in a variety of specialties that presents with nonspecific complaints. Presented herein is the development of an IPA after robotic staging with sentinel lymphadenectomy for endometrial carcinoma. The patient was a 61-year-old woman with history of prolonged immunosuppressive therapy due to psoriasis. She presented with an IPA 8 weeks after a robotic-assisted laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and sentinel lymph node dissection. The patient was treated and cured with empiric antibiotics and drainage by interventional radiology. Although infrequent, one must keep IPA as a possible diagnosis in immunosuppressed patients who have undergone dissection of the retroperitoneal space during gynecologic surgery.

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Source
http://dx.doi.org/10.1016/j.jmig.2017.11.003DOI Listing

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