| A tuberculous psoas abscess found in an inguinal hernia |
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Hyon Joung Cho, Chang Hyeok An, Seong Hwan Jeong, Woon Gi Lee, Ha Na Kim, Su Jin Choi |
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| 샅굴탈장으로 발견된 결핵성 요근 농양 1예 |
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조현정·안창혁·정성환·이운기·김하나·최수진, Chang Hyeok An, Seong Hwan Jeong, Woon Gi Lee, Ha Na Kim, Su Jin Choi |
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| Abstract |
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Tuberculous psoas abscesses are uncommon and are rare without tuberculous spondylitis, but can develop as a result of direct
spread via a lymphatic or hematogenous route. The clinical presentation includes pain and weight loss, while a palpable mass is
rare. Furthermore, an inguinal hernia is a very rare complication of a tuberculous psoas abscess. We report an unusual case of tuberculous
psoas abscess found in an inguinal hernia that may have spread from pulmonary tuberculosis via the lymphatics. The diagnosis
was confirmed by computed tomography (CT) and culture of the abscess for Mycobacterium tuberculosis. The patient was
treated with anti-tuberculous agents and was scheduled to undergo surgery for the inguinal hernia, but was transferred to a hospital
nearer to home at her request. (Korean J Med 77:S1174-S1177, 2009) |
| Key Words:
Hernia, inguinal; Abscess, psoas; Tuberculosis |
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