{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:21Z","timestamp":1756276821420,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,2]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Iliopsoas abscess is common in immunocompromised patients and rarely presents with empyema thoracis. We present a 26-year-old male with no comorbidities who presented with a 3-day history of abdominal pain, fever and dyspnoea. There was no history of tuberculosis or recent contact with a tuberculous patient. On examination, the patient had facial dysmorphism and abdominal wall cellulitis extending bilaterally from flank to the inguinoscrotal region. Chest X-ray showed a left pleural effusion. Ultrasonography and contrast-enhanced CT also showed bilateral iliopsoas abscess with a left massive pleural empyema. The patient underwent bilateral abscess open drainage, thoracostomy for left empyema thoracis and intravenous antibiotic therapy. The patient had an uneventful course postoperatively and was discharged.<\/jats:p>","DOI":"10.1136\/bcr-2021-244697","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T13:19:25Z","timestamp":1634649565000},"page":"e244697","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral iliopsoas abscess presenting with abdominal wall cellulitis and left-sided empyema thoracis: a rare presentation"],"prefix":"10.1136","volume":"14","author":[{"given":"Chilaka","family":"Suresh","sequence":"first","affiliation":[{"name":"Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8183-6840","authenticated-orcid":false,"given":"Oseen Hajilal","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mude Naveen","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-082X","authenticated-orcid":false,"given":"Uday Shamrao","family":"Kumbhar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"key":"2025082623190178000_14.10.e244697.1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.017665"},{"key":"2025082623190178000_14.10.e244697.2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-200194010-00001"},{"key":"2025082623190178000_14.10.e244697.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90057-7"},{"key":"2025082623190178000_14.10.e244697.4","first-page":"1087","article-title":"Iliopsoas abscess: etiology, diagnosis, and treatment","volume":"61","author":"Desandre","year":"1995","journal-title":"Am Surg"},{"key":"2025082623190178000_14.10.e244697.5","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.144.6.1217"},{"key":"2025082623190178000_14.10.e244697.6","doi-asserted-by":"publisher","DOI":"10.1007\/s003840000219"},{"key":"2025082623190178000_14.10.e244697.7","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e31819d2748"},{"key":"2025082623190178000_14.10.e244697.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.08.016"},{"key":"2025082623190178000_14.10.e244697.9","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430120063009"},{"key":"2025082623190178000_14.10.e244697.10","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2000.0643"},{"key":"2025082623190178000_14.10.e244697.11","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.ajem.2018.05.021","article-title":"Epidemiology of and risk factors for iliopsoas abscess in a large community-based study","volume":"37","author":"Ouellette","year":"2019","journal-title":"Am J Emerg Med"},{"key":"2025082623190178000_14.10.e244697.12","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655254"},{"key":"2025082623190178000_14.10.e244697.13","unstructured":"ABSES\u011e PA . Pleural effusion associated with a psoas abscess dissecting through the posterior abdominal wall. Turk Klin J Med Sci;18:402\u20135."},{"key":"2025082623190178000_14.10.e244697.14","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s10156-008-0614-3","article-title":"Retroperitoneal abscess perforating into the thoracic cavity in an immunocompromised host","volume":"14","author":"Shigemura","year":"2008","journal-title":"J Infect Chemother"},{"key":"2025082623190178000_14.10.e244697.15","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1007\/s00384-015-2198-6","article-title":"A case of empyema and a posterior mediastinal abscess after an iliopsoas abscess secondary to Crohn's disease","volume":"31","author":"Motono","year":"2016","journal-title":"Int J Colorectal Dis"},{"key":"2025082623190178000_14.10.e244697.16","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000296"},{"key":"2025082623190178000_14.10.e244697.17","unstructured":"Christodoulou D , Tzambouras N , Katsanos K . Psoas fistula and abscess in a patient with Crohn\u2019s Disease presenting as claudication and hip arthritis. Annals of Gastroenterology 2001."},{"key":"2025082623190178000_14.10.e244697.18","article-title":"Indication for drainage for a hematogenous iliopsoas abscess: analysis of patients initially treated without drainage","author":"Shoji","year":"2020","journal-title":"J Orthop Sci"},{"key":"2025082623190178000_14.10.e244697.19","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/ases.12091","article-title":"Retroperitoneoscopic drainage of bilateral psoas abscesses under intraoperative laparoscopic ultrasound guidance","volume":"7","author":"Kodama","year":"2014","journal-title":"Asian J Endosc Surg"},{"key":"2025082623190178000_14.10.e244697.20","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0039-6109(02)00022-1","article-title":"Thoracic empyema","volume":"82","author":"de Hoyos","year":"2002","journal-title":"Surg Clin North Am"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:19:16Z","timestamp":1756275556000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":20,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,19]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-244697"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244697","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}