Pyomyositis of Iliacus in an Adolescent: A Case Report
Case Report | Volume 12 | Issue 1 | January-April 2026 | Page: 8-11 | Kushagra Vashisht, Sudhir Rana, Parmanand Gupta
DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.256
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2026; The Author(s).
Submitted: 17/10/2025; Reviewed: 06/11/2025; Accepted: 08/01/2026; Published: 10/02/2026
Authors: Kushagra Vashisht MS Ortho [1], Sudhir Rana MS Ortho [1], Parmanand Gupta MS Ortho [1]
[1] Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
Address of Correspondence
Dr. Parmanand Gupta,
Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
E-mail: drpgupta123@gmail.com
Abstract
Pyomyositis of the iliacus muscle is rare in children and adolescents. It has an overlapping presentation with septic arthritis of the hip or spondylodiscitis. A 15-year-old boy presented with progressive left hip pain, fever, and limp. T2 weighted MRI images revealed hyperintensities in the iliacus and piriformis muscles. Open surgical drainage was performed with postoperative antibiotics. Hip arthrotomy was not carried out. Complete healing with resolution of symptoms occurred at 2 weeks. This case highlights the importance of prompt imaging and surgical intervention in managing rare musculoskeletal infections, as well as the need for clinicians to maintain a high suspicion for pyomyositis adjacent to the hip joint and avoid unnecessary arthrotomy.
Keywords: Pyomyositis, Iliacus, Hip, Case report
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| How to Cite this Article: Vashisht K, Rana S, Gupta P. Pyomyositis of Iliacus in an Adolescent: A Case Report. International Journal of Paediatric Orthopaedics. January-April 2026; 12(1): 08-11. |
