{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:31:24Z","timestamp":1761006684380,"version":"build-2065373602"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Iliopsoas abscess is an uncommon but potentially life-threatening condition. Distal extension into the thigh is extremely rare and usually requires surgery. We report the case of a 65-year-old woman presenting with fever, back pain, and impaired hip mobility. Contrast-enhanced computed tomography revealed a multiloculated iliopsoas abscess extending into the thigh adductor compartment. Under combined ultrasound and fluoroscopic guidance, multi-access percutaneous drainage was performed using one retroperitoneal and two femoral catheters, yielding purulent material positive for Staphylococcus aureus. Targeted antibiotic therapy and serial catheter lavages led to rapid recovery. Drains were removed after 14\u00a0days, and the patient remained symptom-free at 3-month follow-up. This case demonstrates that even complex iliopsoas abscesses with thigh extension can be successfully treated with a tailored image-guided percutaneous approach, providing a safe and effective alternative to open surgery in selected cases.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf792","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:59:46Z","timestamp":1760108386000},"source":"Crossref","is-referenced-by-count":0,"title":["Beyond the psoas: iliopsoas abscess with thigh extension successfully managed by percutaneous approach"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4005-5570","authenticated-orcid":false,"given":"Yavor","family":"Asenov","sequence":"first","affiliation":[{"name":"Department of Surgery, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9985-0749","authenticated-orcid":false,"given":"Ivan Valentinov","family":"Dimitrov","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariyan","family":"Kotsev","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todor","family":"Angelov","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branimir","family":"Golemanov","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Plamen","family":"Getsov","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d Medical University \u2013 Sofia , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolay","family":"Penkov","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical University \u2013 Sofia University General Hospital \u201cTsaritsa Yoanna \u2013 ISUL\u201d , Sofia 1527 ,","place":["Bulgaria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"2025102005540710600_ref1","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1136\/pgmj.2003.017665","article-title":"Iliopsoas abscesses","volume":"80","author":"Mallick","year":"2004","journal-title":"Postgrad Med J"},{"key":"2025102005540710600_ref2","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.amsu.2021.01.040","article-title":"Epidemiological features and outcomes of patients with psoas abscess: a retrospective cohort study","volume":"62","author":"Sato","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2025102005540710600_ref3","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1016\/j.jvir.2019.12.001","article-title":"Society of Interventional Radiology Quality Improvement Standards for image-guided percutaneous drainage and aspiration of abscesses and fluid collections","volume":"31","author":"Dariushnia","year":"2020","journal-title":"J Vasc Interv Radiol"},{"key":"2025102005540710600_ref4","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1007\/BF01655254","article-title":"Pyogenic psoas abscess: worldwide variations in etiology","volume":"10","author":"Ricci","year":"1986","journal-title":"World J Surg"},{"key":"2025102005540710600_ref5","first-page":"655","article-title":"Bilateral psoas abscess with extension into the adductor canal","volume":"32","author":"Nagaretnam","year":"2021","journal-title":"Jt Dis Relat Surg"},{"key":"2025102005540710600_ref6","first-page":"1133","article-title":"Extrapelvic extension of psoas abscess: posterior thigh and gluteal involvement","volume":"18","author":"Pinto","year":"2023","journal-title":"Radiol Case Rep"},{"key":"2025102005540710600_ref7","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1590\/s1679-45082018rc4254","article-title":"Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery","volume":"16","author":"Martins","year":"2018","journal-title":"Radiol Bras"},{"key":"2025102005540710600_ref8","first-page":"4806","article-title":"Minimally invasive outpatient management of iliopsoas muscle abscess with CT-guided drainage: experience from a tertiary center","volume":"10","author":"Chen","year":"2022","journal-title":"World J Clin Cases"},{"key":"2025102005540710600_ref9","first-page":"623","article-title":"Predictors of failure of percutaneous drainage in iliopsoas abscess","volume":"27","author":"Yamagishi","year":"2021","journal-title":"J Infect Chemother"},{"key":"2025102005540710600_ref10","doi-asserted-by":"publisher","first-page":"2760","DOI":"10.3390\/jcm12082760","article-title":"Clinical characteristics and in-hospital outcomes in patients with iliopsoas abscess: a multicenter study","volume":"12","author":"Lee","year":"2023","journal-title":"J Clin Med"}],"container-title":["Journal of Surgical Case 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