Primary adenocarcinoma of appendix is an uncommon gastrointestinal malignancy. Similarly, Psoas abscess is an entity, which sometimes requires extensive work-up to reach a diagnosis. Combined presentation of these two rare conditions is not only exceptional, but also diagnostically challenging. We present a case of a lady who presented with recurrent UTI secondary to right sided ureteric obstruction, referred right hip joint pain resulting from a Psoas abscess, which eventually turned out to be a consequence of metastatic adenocarcinoma of appendix, causing pseudomyxoma extraperitonei, with simultaneous intraperitoneal deposits.
Journal of the College of Physicians and Surgeons Pakistan
(2011). Malignant Psoas abscess or pseudomyxoma extraperitonei. Journal of the College of Physicians and Surgeons Pakistan, 21(9), 567-8.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_emerg_med/2