{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:49Z","timestamp":1756425829534,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,28]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>Iliopsoas abscesses (IPA) are uncommon, with an associated mortality rate of up to 20%. We describe the case of a 55-year-old man war veteran who presented with an unusual cause of IPA secondary to retained foreign body (FB). His initial trauma 30 years before was a result of a blast injury with shrapnel penetration suffered after inadvertently driving over a landmine as an ambulance driver in a conflict region. A CT scan was performed, revealing a 13 mmx8 mm radio-opaque FB within the right psoas at the level of the fifth lumbar vertebra with a surrounding collection. Subsequent open surgical exploration removed two gravel fragments. Given the knowledge of a traumatic blast injury with retained FB and repeated episodes of sepsis, surgical exploration is warranted. To our knowledge, this is the first case of recurrent IPA secondary to a retained FB from a historical trauma.<\/jats:p>","DOI":"10.1136\/bcr-2021-247100","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T11:32:20Z","timestamp":1636716740000},"page":"e247100","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of iliopsoas abscess caused by a retained shrapnel from a blast injury"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2621-2530","authenticated-orcid":false,"given":"Jonathan","family":"Tiong","sequence":"first","affiliation":[{"name":"Department of Clinical Surgery, The University of Edinburgh, Edinburgh, Edinburgh, UK"},{"name":"Department of General Surgery, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Monash Health, Clayton, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"2025082802250135000_14.11.e247100.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655254"},{"key":"2025082802250135000_14.11.e247100.2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-13-578"},{"key":"2025082802250135000_14.11.e247100.3","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.017665"},{"key":"2025082802250135000_14.11.e247100.4","first-page":"1","article-title":"Iliopsoas abscess (together with bullet) resulting from a firearms injury","volume":"2015","author":"G\u00fczel","year":"2015","journal-title":"Case Rep Orthop"},{"key":"2025082802250135000_14.11.e247100.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2021.106092","article-title":"Metal shrapnel causing psoas abscess: the first case report","volume":"84","author":"Al-Hajjaj","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2025082802250135000_14.11.e247100.6","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.20.suppl_1.g00oc07s53"},{"key":"2025082802250135000_14.11.e247100.7","doi-asserted-by":"crossref","first-page":"359","DOI":"10.2214\/ajr.142.2.359","article-title":"Iliopsoas abscess: treatment by CT-guided percutaneous catheter drainage","volume":"142","author":"Mueller","year":"1984","journal-title":"AJR Am J Roentgenol"},{"key":"2025082802250135000_14.11.e247100.8","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.144"},{"key":"2025082802250135000_14.11.e247100.9","unstructured":"Skinner EJ , Morrison CA . Wound foreign body removal. Treasure Island (FL): StatPearls, 2021."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:25:09Z","timestamp":1756373109000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,12]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-247100"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247100","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}