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- W2100071518 abstract "[Ann Emerg Med. 2012;59:e9-e10.]A 34-year-old woman presented to the emergency department with a 3-week history of a soft tissue mass in the right lower abdominal quadrant. Physical examination revealed a painless swelling in the right iliac fossa. Her general condition was good, and she was not febrile. Laboratory tests indicated a WBC count of 11,200/mm3 and erythrocyte sedimentation rate of 40μmm/hour. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) were performed (Figure 1, Figure 2) .Figure 2Abdominal MRI of the patient.View Large Image Figure ViewerDownload Hi-res image Download (PPT)DiagnosisPott's abscess. CT revealed a large retroperitoneal abscess extending from the flank to the right iliac fossa (Figure 1), and MRI image showed a right retroperitoneal abscess with destruction of vertebral bodies from L3 to L4 (Figure 2). Drainage of the abscess was performed in the operating room (Figure 3) . Cultures showed Mycobacterium tuberculosis, which was confirmed histologically.Figure 3Incision and drainage.Used with permission of Ahmet Pergel, MD, Department of Surgery, School of Medicine, Rize University, Rize, Turkey.View Large Image Figure ViewerDownload Hi-res image Download (PPT)Spinal tuberculosis (Pott's disease) is the commonest form of skeletal tuberculosis and is frequently associated with pre- or paraspinal abscess.1Kumar R. Spinal tuberculosis: with reference to the children of northern India.Childs Nerv Syst. 2005; 21: 19-26Crossref PubMed Scopus (44) Google Scholar The incidence of tuberculosis infection has significantly increased during the past 20 years because of the HIV pandemic, and tuberculosis remains one of the most prevalent and deadly infections worldwide.2Karoui S. Bibani N. Ouaz A. et al.Retroperitoneal abscess: a rare localization of tubercular infection.Gastroenterol Res Pract. 2010; 2010: 475130PubMed Google Scholar Diagnosis of retroperitoneal abscess may be difficult because of its rarity, the insidious onset of the disease, and its nonspecific clinical presentation. These difficulties can cause diagnostic delays, resulting in high morbidity. Clinical suspicion and radiologic study with MRI or CT, along with microbiologic culture of the purulent material, are crucial for the diagnosis.3Moore S.L. Rafii M. Imaging of musculuskeletal and spinal tuberculosis.Radiol Clin North Am. 2001; 39: 329-342Abstract Full Text Full Text PDF PubMed Scopus (149) Google Scholar Prompt treatment with percutaneous drainage and antitubercular drugs is typically key to facilitating a satisfactory outcome. [Ann Emerg Med. 2012;59:e9-e10.] A 34-year-old woman presented to the emergency department with a 3-week history of a soft tissue mass in the right lower abdominal quadrant. Physical examination revealed a painless swelling in the right iliac fossa. Her general condition was good, and she was not febrile. Laboratory tests indicated a WBC count of 11,200/mm3 and erythrocyte sedimentation rate of 40μmm/hour. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) were performed (Figure 1, Figure 2) . DiagnosisPott's abscess. CT revealed a large retroperitoneal abscess extending from the flank to the right iliac fossa (Figure 1), and MRI image showed a right retroperitoneal abscess with destruction of vertebral bodies from L3 to L4 (Figure 2). Drainage of the abscess was performed in the operating room (Figure 3) . Cultures showed Mycobacterium tuberculosis, which was confirmed histologically.Spinal tuberculosis (Pott's disease) is the commonest form of skeletal tuberculosis and is frequently associated with pre- or paraspinal abscess.1Kumar R. Spinal tuberculosis: with reference to the children of northern India.Childs Nerv Syst. 2005; 21: 19-26Crossref PubMed Scopus (44) Google Scholar The incidence of tuberculosis infection has significantly increased during the past 20 years because of the HIV pandemic, and tuberculosis remains one of the most prevalent and deadly infections worldwide.2Karoui S. Bibani N. Ouaz A. et al.Retroperitoneal abscess: a rare localization of tubercular infection.Gastroenterol Res Pract. 2010; 2010: 475130PubMed Google Scholar Diagnosis of retroperitoneal abscess may be difficult because of its rarity, the insidious onset of the disease, and its nonspecific clinical presentation. These difficulties can cause diagnostic delays, resulting in high morbidity. Clinical suspicion and radiologic study with MRI or CT, along with microbiologic culture of the purulent material, are crucial for the diagnosis.3Moore S.L. Rafii M. Imaging of musculuskeletal and spinal tuberculosis.Radiol Clin North Am. 2001; 39: 329-342Abstract Full Text Full Text PDF PubMed Scopus (149) Google Scholar Prompt treatment with percutaneous drainage and antitubercular drugs is typically key to facilitating a satisfactory outcome. Pott's abscess. CT revealed a large retroperitoneal abscess extending from the flank to the right iliac fossa (Figure 1), and MRI image showed a right retroperitoneal abscess with destruction of vertebral bodies from L3 to L4 (Figure 2). Drainage of the abscess was performed in the operating room (Figure 3) . Cultures showed Mycobacterium tuberculosis, which was confirmed histologically. Spinal tuberculosis (Pott's disease) is the commonest form of skeletal tuberculosis and is frequently associated with pre- or paraspinal abscess.1Kumar R. Spinal tuberculosis: with reference to the children of northern India.Childs Nerv Syst. 2005; 21: 19-26Crossref PubMed Scopus (44) Google Scholar The incidence of tuberculosis infection has significantly increased during the past 20 years because of the HIV pandemic, and tuberculosis remains one of the most prevalent and deadly infections worldwide.2Karoui S. Bibani N. Ouaz A. et al.Retroperitoneal abscess: a rare localization of tubercular infection.Gastroenterol Res Pract. 2010; 2010: 475130PubMed Google Scholar Diagnosis of retroperitoneal abscess may be difficult because of its rarity, the insidious onset of the disease, and its nonspecific clinical presentation. These difficulties can cause diagnostic delays, resulting in high morbidity. Clinical suspicion and radiologic study with MRI or CT, along with microbiologic culture of the purulent material, are crucial for the diagnosis.3Moore S.L. Rafii M. Imaging of musculuskeletal and spinal tuberculosis.Radiol Clin North Am. 2001; 39: 329-342Abstract Full Text Full Text PDF PubMed Scopus (149) Google Scholar Prompt treatment with percutaneous drainage and antitubercular drugs is typically key to facilitating a satisfactory outcome." @default.
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- W2100071518 title "A Woman With Painless Swelling in the Right Lower Abdominal Quadrant" @default.
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