Iliopsoas myofibrositis – A diagnostic consideration for chronic lower abdominal pain in rural Kenya

  • J Tjong
  • J Tjong


Diagnosis for lower abdominal pain is always challenging clinically and more so in the setting of rural Africa. Eighteen cases of sonographically-shown ipsilateral enlargement and echo alteration of iliopsoas muscle have been compiled in patients with chronic lower abdominal pain. Seventy percent of the cases were treated with antibiotic and 30% with additional anti-inflammatory drug. A telephone interview follow up was done to nine patients, in which eight reported improvement after treatment. One case was biopsied and shown to be myofibrositis of iliopsoas muscle.

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eISSN: 0012-835X