Xanthogranulomatous pyelonephritis (XGP) is a rare histological subset of pyelonephritis characterized by being a chronic destructive granulomatous inflammation of the renal parenchyma. XGP is classified according to the extent of disease into two entities: within the renal cortex (focal or segmental XGP) or diffuse spread with pelvic communication (diffuse XGP). Although rare, XGP can have fat...

Primary adenocarcinoma of appendix is an uncommon gastrointestinal malignancy. Similarly, Psoas abscess is an entity, which sometimes requires extensive work-up to reach a diagnosis. Combined presentation of these two rare conditions is not only exceptional, but also diagnostically challenging. We present a case of a lady who presented with recurrent UTI secondary to right sided ureteric obstru...

Abscess formation in perforated diverticulitis is most commonly confined to the pelvis, with other intraperitoneal and extraperitoneal locations rarer literature. Presented here case of a 63-year-old male who was diagnosed which manifested multiple intra- extra-abdominal abscesses. These were identified on abdominopelvic computed tomography include presacral abscess, bilateral psoas abscesses, ...

Crohn’s disease is characterized by chronic intestinal inflammation and not rarely by extraintestinal manifestations. Psoas abscess and fistula is a rare complication of Crohn’s disease, which is sometimes difficult to diagnose in the early stage. We describe the case of a 22-year-old male patient with Crohn’s disease who presented to us with difficulty in walking and pain in the area of the ri...

A 73-year-old man underwent emergency endovascular abdominal aneurysm repair (EVAR) for a ruptured infected abdominal aortic aneurysm. Two years after EVAR, he was admitted with a spiking fever and left lower back pain. Computed tomography scan revealed not only recurrent graft infection with psoas abscess but also infection around the orifice of the superior mesenteric artery. Because conserva...

Aortic stent graft infection is a rare but serious complication associated with high mortality. This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing Endovascular Aortic Repair (EVAR). We report a case in which a post-EVAR patient became unwell about 30 days post operatively and was shown on CT scanning to have a psoas abs...

A 63-year-old man with diabetes presented with a twoday history of fever and left flank pain. A physical examination revealed hypotension, tachycardia and left lower abdominal tenderness. Laboratory tests showed leukocytosis with bandemia and metabolic acidosis. A plain abdominal film showed an outpouching left psoas shadow (Picture 1, arrows). Contrast-enhanced abdominal computed tomography re...

Psoas abscess is a rare clinical entity. Rarely, it is associated with thrombosis of the inferior vena cava. This report is of a 36-year-old woman with bilateral pyogenic psoas abscesses with spondylodiscitis complicated by thrombosis of the inferior vena cava. The pathogenesis and imaging features of this condition are discussed.

INTRODUCTION A paradoxical reaction during antituberculosis treatment is defined as the worsening of pre-existing tuberculosis lesions or the appearance of a new tuberculosis lesion in patients whose clinical symptoms improved with antituberculosis treatment. The median onset time to the development of a paradoxical response has been reported to be about 60 days after the start of treatment. We...

Klebsiella pneumoniae liver abscess (KLA) is an emerging infectious liver disease in developed countries such as the United States. This is particularly common in the East Asians living in the United States who has other comorbid medical problems, especially diabetes mellitus. Metastatic infections involving non-contiguous areas originating from Klebsiella pneumoniae liver abscess have been doc...