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A 9-Year-Old Female Presenting with a Pelvic Abscess That Mimicked a Septic Hip Joint: A Case Report and Discussion of the Diagnostic Challenges That Were Faced
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Journal of Clinical Case Reports

ISSN: 2165-7920

Open Access
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Case Report - (2024) Volume 14, Issue 2

A 9-Year-Old Female Presenting with a Pelvic Abscess That Mimicked a Septic Hip Joint: A Case Report and Discussion of the Diagnostic Challenges That Were Faced

Nicholas R. Williams1,3*, Alvarho J. Guzman2,3 and James L. Chen3
*Correspondence: Nicholas R. Williams, Advanced Orthopedics and Sports Medicine, 450 Sutter St, Suite 400, San Francisco, CA, 94108, USA, Email:
Author information
1University of Connecticut Health Center, Farmington, CT, USA
2Albany Medical Center Hospital, Albany, NY, USA
3Advanced Orthopedics and Sports Medicine, San Francisco, CA, USA

Received: 16-Jan-2024, Manuscript No. jccr-24-126372; Editor assigned: 18-Jan-2024, Pre QC No. P-126372; Reviewed: 01-Feb-2024, QC No. Q-126372; Revised: 05-Feb-2024, Manuscript No. R-126372; Published: 12-Feb-2024 , DOI: 10.37421/2165-7920.2024.14.1594
Citation: Williams, Nicholas R., Alvarho J. Guzman and James L. Chen. “A 9-Year-Old Female Presenting with a Pelvic Abscess That Mimicked a Septic Hip Joint: A Case Report and Discussion of the Diagnostic Challenges That Were Faced.” J Clin Case Rep 14 (2024): 1594.
Copyright: © 2024 Williams NR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

When all four Kocher Criteria are satisfied, the diagnosis of septic arthritis has a reported likelihood between 59-99%. However, when physical exam and imaging studies are inconsistent with septic arthritis, alternative diagnoses must be considered. We present to you the case of a 9-yearold female who satisfied all four Kocher Criteria and underwent an extensive workup. She was found to have an abscess along her pelvic sidewall that extended through the greater sciatic foramen into the piriformis muscle and inferiorly along the course of the sciatic nerve. Primary source control was achieved with operative irrigation and debridement, and long-term antibiotic therapy was used for eradication.