The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(5):1174-1177.
샅굴탈장으로 발견된 결핵성 요근 농양 1예
조현정·안창혁·정성환·이운기·김하나·최수진, , , , ,
A tuberculous psoas abscess found in an inguinal hernia
Hyon Joung Cho, Chang Hyeok An, Seong Hwan Jeong, Woon Gi Lee, Ha Na Kim, Su Jin Choi


Abstract
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)

Keywords :Hernia, inguinal, Abscess, psoas, Tuberculosis
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