A problem in diagnostic imaging.

Abstract

Many pathological processes can present as a swelling in the groin. We present a case of complex, ruptured pyonephrosis causing a psoas collection, which in turn presented clinically as an apparent right "incarcerated inguinal hernia." The patient was successfully treated with antibiotics and ultrasound-guided drainage of the abscess. The anatomical basis of the inguinal presentation of this complex pyonephrosis can be understood in the arrangement of the renal (Gerota's) fascia.

• Authors: A C Raymond, M L Cutress, T Sathesh-Kumar, J R W Parry
• Journal: Clinical anatomy (New York, N.Y.) (Clin Anat) Vol. 24 Issue 1 Pg. 133-5 (Jan 2011) ISSN: 1098-2353 [Electronic] United States
• PMID: 20949484 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2010 Wiley-Liss, Inc.

Chemical References

• Anti-Bacterial Agents

Topics

• Abdominal Abscess (complications, diagnosis, therapy)
• Abdominal Pain (etiology, pathology)
• Aged
• Anti-Bacterial Agents (therapeutic use)
• Diagnosis, Differential
• Drainage
• Groin
• Hernia, Inguinal (diagnosis)
• Humans
• Male
• Pyonephrosis (complications, diagnosis, therapy)
• Rupture
• Tomography, X-Ray Computed
• Treatment Outcome