PMC9761371_01
Coronal view of the CT scan- showing the right psoas abscess with pneumoretroperitoneum tracking through to the gluteal compartment. Pigtail drain can be viewed in the abscess cavity.
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He was started on intravenous vancomycin, tazobactum and piperacillin, and a 6F pigtail drain was inserted into the abscess cavity which drained 40mls of pus (Fig. 1, Fig. 2).
Coronal view of CT scan- showing the right psoas abscess and gas tracking distally into the lateral abdominal wall, gluteus muscle, pelvis and thigh.
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There was associated pneumomediastinum, likely extending from the pneumo-retroperitonium (Fig. 3, Fig. 4).
Open exploration of the posterior compartment of the right thigh- showing the necrosed fascial layers with healthy musculature.
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Next, an incision was made in the right upper posterior thigh to the lower thigh to enter the posterior compartment and a lateral incision over the gluteal region to explore the gluteal compartment (Fig. 5).