{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:32:27Z","timestamp":1790962347611,"version":"4.1.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Bonn"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Less than a dozen cases of psoas abscesses in pregnancy have been described\u00a0in the literature.\u00a0We\u00a0reviewed\u00a0the literature when treating\u00a0a patient with a psoas abscess after ipsilateral double J-ureteral\u00a0stent placement\u00a0(in the following:\u00a0\u201cdouble J-stent\u201d)\u00a0due to infected hydronephrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In January 2022,\u00a0this review was searched using the\u00a0Pubmed\/MEDLINE database\u00a0and the mesh terms \u201cPsoas Abscess\u201d AND \u201cPregnancy\u201d. Studies were included in any language and of all years,\u00a0describing a psoas abscess during pregnancy. When patients did not have a psoas abscess, the abscess occurred after pregnancy, or when there was no full text available, the\u00a0article was\u00a0excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main results<\/jats:title>\n                    <jats:p>Ten case reports about patients with psoas\u00a0abscesses\u00a0during pregnancy were included.\u00a0The classical symptomatic triad of psoas muscle abscess included\u00a0lower back pain, limping and persistent fever with daily spikes. However,\u00a0in most cases,\u00a0not all three symptoms can be found.\u00a0Especially, fever is\u00a0absent in more than half of the\u00a0patients.\u00a0Psoas abscesses are described between 13 and 39\u00a0weeks of gestation. Primary psoas abscesses with haematogenous spread are more common during pregnancy than secondary with spread per\u00a0continuitatem.\u00a0In the\u00a0literature, the main reasons for psoas abscess are spinal tuberculosis, drug abuse or underlying diseases such as Crohn\u2019s disease. It is not uncommon for the definite cause to be unclear. Regarding the\u00a0patient's symptoms,\u00a0pyelonephritis\u00a0is often\u00a0considered a possible aetiology.\u00a0In general, the main treatment options include antibiotic treatment and abscess drainage. There is no higher caesarean section rate,\u00a0and no negative outcome\u00a0for\u00a0the foetus has been described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>In our patient, a\u00a038-year-old obese Caucasian woman, who had received a left double J-stent for infected hydronephrosis at 15\u00a0weeks\u00a0of gestation, we successfully treated a psoas abscess of 20\u2009\u00d7\u200910\u00a0cm with a sonographically assisted abscess drainage and antibiotics.\u00a0The further\u00a0course of pregnancy and the elective repeat caesarean section at 38\u2009+\u20090\u00a0weeks of gestation\u00a0were without any problems.\u00a0Double J-stent placement and laser stone lithotripsy during puerperium\u00a0were performed because of recurrent urolithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although rare, psoas abscesses can\u00a0occur during pregnancy, and it has often been treated surgically in the past. A psoas abscess as a complication after infected hydronephrosis and intervention during pregnancy has never been reported in the literature. Even for obese patients, minimally invasive therapy may be a treatment option\u00a0that has rarely been reported\u00a0in the literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-023-06970-5","type":"journal-article","created":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T09:02:37Z","timestamp":1677315757000},"page":"987-992","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Psoas abscess in pregnancy: a review of the literature and suggestion of minimally invasive treatment options"],"prefix":"10.1007","volume":"309","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5045-9643","authenticated-orcid":false,"given":"Carolin","family":"Schr\u00f6der","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elina","family":"Calite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"B\u00f6ckenhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"B\u00fcttner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Gembruch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Strizek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"6970_CR1","doi-asserted-by":"publisher","first-page":"bcr2013200860","DOI":"10.1136\/bcr-2013-200860","volume":"2013","author":"A Nigam","year":"2013","unstructured":"Nigam A, Prakash A, Pathak P, Abbey P (2013) Bilateral psoas abscess during pregnancy presenting as an acute abdomen: atypical presentation. 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The need for ethics approval and consent was waived.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}}]}}