Psoas abscess associated with iliac vein thrombosis and piriformis and gluteal abscesses

Int J Urol. 1999 May;6(5):257-9. doi: 10.1046/j.1442-2042.1999.00054.x.


Background: A 14-year-old boy was admitted because of lumbago and high fever.

Methods/results: Computed tomography scans revealed psoas, piriformis and gluteal abscesses as well as right iliac vein thrombus. A right femoral venogram demonstrated compression from the psoas abscess and thrombosis of the common iliac vein. Appropriate surgical drainage, administration of antibiotics and anticoagulant therapy were effective in the present case.

Conclusions: This is the first report of primary psoas abscess associated with vein thrombosis and is also unique in that abscesses were multiple without predisposing diseases or trauma.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications
  • Abscess / surgery
  • Adolescent
  • Anticoagulants / therapeutic use
  • Buttocks
  • Drug Therapy, Combination
  • Follow-Up Studies
  • Humans
  • Iliac Vein* / diagnostic imaging
  • Male
  • Psoas Abscess / complications*
  • Psoas Abscess / drug therapy
  • Psoas Abscess / surgery
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / surgery
  • Suction
  • Tomography, X-Ray Computed
  • Venous Thrombosis / complications*
  • Venous Thrombosis / drug therapy


  • Anticoagulants