Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
WY Chen (陳威宇) MD
YT Chang (張鈺堂) MD, PhD
Division of Operation Room, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
HY Ho (何欣宜) RN
Faculty of Medical School, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
YT Chang (張鈺堂) MD, PhD
Correspondence to: Dr YT Chang
Email: 890300@ms.kmuh.org.tw
Received June 10, 2018
Iliopsoas abscess is rare in childhood and reported complications include septic shock, ileus and hydronephrosis. The authors encountered such a case in a 2-year-old girl with a huge left iliopsoas abscess adjacent to the sigmoid colon, descending downward into the groin area. Delayed sigmoid colonic perforation occurred after surgical drainage of the abscess. Local inflammation of the bowel wall due to irritation by the abscess may be the pathogenesis of intestinal perforation.