{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:22Z","timestamp":1789290322970,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nIliopsoas abscess complicating chronic periprosthetic joint infection (PJI) after hip arthroplasty is rare but potentially fatal. Because the iliopsoas bursa communicates with the hip joint, infection can track in either direction, delaying diagnosis and sustaining sepsis and treatment failure. Recognizing this presentation early is what allows the underlying prosthetic infection to be identified.\n\nCase Report:\nAn 88-year-old man with a previously well-functioning right total hip arthroplasty presented with a persistent inflammatory syndrome. Contrast-enhanced computed tomography showed a large right iliopsoas abscess. Inflammatory markers stayed elevated despite broad-spectrum antibiotics, and repeat imaging revealed progressive periprosthetic collections with femoral component loosening. Image-guided hip aspiration grew fully susceptible Escherichia coli, confirming chronic PJI. After multidisciplinary discussion, the prosthesis was removed without spacer implantation, given the patient\u2019s age, frailty, comorbidities, and limited functional reserve. Source control was achieved, but the post-operative course was complicated by recurrent hematoma, wound breakdown, and progressive functional decline, leading to palliative care. The patient died about 3 months after prosthesis removal.\n\nConclusion:\nIn any patient with an ipsilateral hip prosthesis, an iliopsoas abscess should raise the possibility of occult PJI. A persistent inflammatory syndrome after drainage or antibiotics warrants direct evaluation of the prosthetic joint. Early multidisciplinary management \u2013 appropriate imaging, microbiological confirmation, and timely surgery \u2013 remains central to a good outcome.\n\nKeywords:\nPeriprosthetic joint infection , hip arthroplasty , chronic infection , iliopsoas abscess , Escherichia coli , case report<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.7978","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T11:29:48Z","timestamp":1788607788000},"page":"35-41","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Iliopsoas Abscess as the Initial Manifestation of Periprosthetic Hip Joint Infection after Total Hip Arthroplasty: A Case Report and Literature Review"],"prefix":"10.13107","volume":"16","author":[{"given":"Ahmed Ben","family":"Rha\u00efem","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Groupe Hospitalier Public Sud de l\u2019Oise (GHPSO), Creil Hospital, Creil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Majeed","family":"Kikar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Groupe Hospitalier Public Sud de l\u2019Oise (GHPSO), Creil Hospital, Creil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario Ruben","family":"Sanguina","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Groupe Hospitalier Public Sud de l\u2019Oise (GHPSO), Creil Hospital, Creil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:25Z","timestamp":1789289125000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/iliopsoas-abscess-as-the-initial-manifestation-of-periprosthetic-hip-joint-infection-after-total-hip-arthroplasty-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.7978","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.7978","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}