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Abstract

Abstract


Three cases of retroperitoneal space abscess presented with classical signs and symptoms of fever, mass and pain at the site of collection and psoas spasm in two, but no signs of peritonitis. Plain X-ray abdomen in all cases revealed fullness, a soft tissue shadow, kyphoscoliosis and obliterated psoas shadow on the affected side (Fig. 1). Patients failed to show any improvement with pre-operative antibiotic therapy but had excellent recovery after incision and extraperitoneal drainage of the pus along-with an antibiotic postoperatively. Coagu-lase positivei\'\'staphylococci were isolated from two and the E. Coli from the pus in the third case. The etiology remained unknown in two cases while suppurating lymphadenitis/pyomyositis from a distant septic focus seemed likely in the third.