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Case Report Open Access

Supralevator Abscess Presenting with Pneumoarthrosis and Retroperitoneal Air: A Case Report


74-year-old male presented to the emergency department with complaint of fever, weakness and fatigue and was admitted to the hospital for further workup. The patient was found to have gram negative bacteremia and Clostridioides difficile infection. Computed tomography imaging of the abdomen and pelvis was obtained and demonstrated air in the retroperitoneal/presacral space tracking to the left hemipelvis and femoral joint. Concern for possible septic joint lead to an orthopedic surgery evaluation and magnetic resonance imaging of the left hip and pelvis which revealed a complicated perirectal infection tracking to the left hemipelvis. The patient was taken to the operating room with colorectal surgery for further management and treatment.

Elisabeth Ekkel*, J.Hain

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