Our Summary

This paper discusses a rare case of a woman with a psoas abscess, which is an unusual type of infection. The woman had previously been treated for cervical cancer three years before. The infection was found to be related to a return of her cancer, which had spread to other parts of her body including her vena cava (a large vein), her spine, and her duodenum (part of her intestines). This was treated over time through draining the abscess and a surgical procedure known as a Whipple procedure, which is often used to treat pancreatic cancer. This case highlights the need for thorough diagnosis to ensure the right treatment is given. It is a rare example of a psoas abscess caused by cervical cancer, and the first known case where such extensive surgery was needed to control it.

FAQs

  1. What is a psoas abscess and how is it related to cervical cancer?
  2. What is a Whipple procedure and why was it used in this case?
  3. What is the significance of this case in relation to the diagnosis and treatment of cervical cancer?

Doctor’s Tip

A helpful tip a doctor might tell a patient about a Whipple procedure is to carefully follow post-operative instructions, including taking prescribed medications, attending follow-up appointments, and gradually reintroducing solid foods into your diet. It is also important to communicate any concerns or changes in symptoms to your healthcare provider promptly. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support your recovery and overall well-being after the procedure.

Suitable For

Patients who are typically recommended for a Whipple procedure include those with:

  1. Pancreatic cancer: The Whipple procedure is most commonly performed to treat pancreatic cancer that is confined to the head of the pancreas.

  2. Ampullary cancer: Cancer that originates in the ampulla of Vater, where the bile duct and pancreatic duct meet, may also be treated with a Whipple procedure.

  3. Duodenal cancer: Cancer that arises in the duodenum, the first part of the small intestine, may require a Whipple procedure for treatment.

  4. Benign tumors: In some cases, benign tumors or cysts in the pancreas, bile duct, or duodenum may necessitate a Whipple procedure for removal.

  5. Chronic pancreatitis: Severe cases of chronic pancreatitis that do not respond to other treatments may require a Whipple procedure to alleviate symptoms and improve quality of life.

It is important for patients to undergo a thorough evaluation by a multidisciplinary team of specialists to determine if they are suitable candidates for a Whipple procedure. The risks and benefits of the surgery should be carefully weighed, and alternative treatment options should be considered before proceeding with the procedure.

Timeline

Before the Whipple procedure:

  • The patient had previously been treated for cervical cancer three years before
  • The patient experienced symptoms of a psoas abscess, including back pain, fever, and weight loss
  • Diagnostic tests were conducted to determine the cause of the abscess
  • The abscess was found to be related to a return of her cancer, which had spread to other parts of her body

After the Whipple procedure:

  • The patient underwent a Whipple procedure to remove the infected tissue and control the spread of cancer
  • The surgery was successful in removing the abscess and affected areas
  • The patient underwent a period of recovery in the hospital
  • The patient received follow-up care and monitoring to ensure the cancer was under control
  • The patient may have undergone additional treatments such as chemotherapy or radiation therapy to prevent a recurrence of the cancer.

What to Ask Your Doctor

  1. What is a Whipple procedure and why is it recommended for me?

  2. What are the risks and potential complications associated with a Whipple procedure?

  3. What is the success rate of a Whipple procedure for my specific condition?

  4. How long is the recovery process after a Whipple procedure and what can I expect during this time?

  5. Will I need any additional treatments or therapies following the Whipple procedure?

  6. Are there any lifestyle changes or dietary restrictions I should be aware of after the procedure?

  7. How often will I need follow-up appointments or screenings after the Whipple procedure?

  8. What are the chances of the cancer returning after a Whipple procedure?

  9. Are there any alternative treatment options to consider before proceeding with a Whipple procedure?

  10. Can you provide me with more information about the medical team that will be involved in my care during and after the Whipple procedure?

Reference

Authors: Mehdorn M, Petersen TO, Bartels M, Jansen-Winkeln B, Kassahun WT. Journal: BMC Surg. 2016 Aug 11;16(1):55. doi: 10.1186/s12893-016-0169-7. PMID: 27515528