An unusual case of an extensive post-injection retroperitoneal abscess in an intravenous drug user

Author:

Gerasopoulos Georgios1,Patriarcheas Vasileios2,Mitsas Angelos C1,Karagianni Foteini1,Routis Panagiotis3,Kostis Minas2,Voultsinos Vasileios4,Lazaridis Michail1,Tsitlakidis Anastasios1

Affiliation:

1. General Surgery Department, Imathia General Hospital, Veria Unit , Papagou Settlement, Veria, Central Macedonia, Veria 59132 , Greece

2. Internal Medicine Department, Imathia General Hospital, Veria Unit , Papagou Settlement, Veria, Central Macedonia, Veria 59132 , Greece

3. General Surgery Department, Volos General Hospital , Volos 38222 , Greece

4. Diagnostic Radiology Department, Imathia General Hospital, Veria Unit , Papagou Settlement, Veria, Central Macedonia, Veria 59132 , Greece

Abstract

Abstract Retroperitoneal abscesses constitute an uncommon, complex, and life-threatening intra-abdominal infection. The insidious nature of the presentation, coupled with the presence of non-specific clinical symptoms, might result in misdiagnosis or delayed diagnosis, ultimately contributing to substantial morbidity and mortality. Herein we report a case of a 32-year-old intravenous drug user who presented to the emergency department complaining of high-grade fever, intense hiccough, and back pain due to retroperitoneal abscess formation after intravenous injection in the left femoral vein.

Publisher

Oxford University Press (OUP)

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