Occult Cervical Carcinoma Presenting as Psoas Abscess: Diagnostic Insights
Sai Kulkarni, Vijayalaxmi S Patil, Manjunath S Kotennavar, Angela Susan
Asian Journal of Case Reports in Surgery · pp. 683–689 · Published 15 Oct 2025
10.9734/ajcrs/2025/v8i2703Abstract
Psoas abscess as an initial presentation of cervical squamous cell carcinoma is exceedingly rare, particularly in HIV-negative women, with only a few cases reported. This rarity often leads to diagnostic delays, as initial imaging findings may mimic infectious psoas abscesses, resulting in misdirected therapeutic interventions. Our case underscores the importance of maintaining a high index of suspicion, as malignancies may masquerade as benign inflammatory conditions. Accurate diagnosis requires multidisciplinary evaluation with imaging, biopsy, and histopathology. Surgeons should consider cervical carcinoma in the differential diagnosis of atypical psoas abscesses to avoid delays and improve outcomes.
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