Septic Spontaneous Abortion Associated With Intrauterine Fetal Death at 8 Weeks of Gestation Complicated by Myometritis and Bilateral Psoas Muscle Abscess: A Case Report.
Jose L Rojas-Oviedo, Nancy P Ortega López, Dauris Lineth Mejía Pérez et al.
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Case in brief
A 34-year-old woman presented with severe lower back pain and was diagnosed with septic abortion associated with intrauterine fetal death at 8 weeks of gestation. Complications included myometritis and bilateral psoas muscle abscess. After cervical ripening and uterine curettage, she developed bacteremia. Treatment with intravenous vancomycin for 28 days led to complete clinical and radiographic resolution.
What made this case unusual
The case highlights the rare occurrence of bilateral psoas muscle abscesses in the context of septic abortion, which complicates the clinical picture and diagnosis.
Diagnostic / clinical pearl
Clinicians should consider the possibility of iliopsoas abscess in patients with septic abortion, especially when presenting with atypical symptoms such as severe back pain.
Why it matters
This case underscores the importance of timely diagnosis and appropriate antibiotic therapy in managing complex infections during pregnancy.