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Emergency casebook
An adolescent athlete with groin and hip pain
  1. D Burns1,
  2. F Sheikh2,
  3. O Ahmed2
  1. 1
    Emergency Department, Addenbrooke's Hospital, Hills Road, Cambridge CB2 OQQ, UK
  2. 2
    Lister Hospital, Stevenage, Hertfordshire, UK
  1. Correspondence to Dr D Burns, Emergency Department, Addenbrooke's Hospital, Hills Road, Cambridge CB2 OQQ, UK; deanburns{at}doctors.org.uk

Abstract

The case report is presented of a 14-year-old boy with persistent right hip and groin pain. After failing to respond to conventional management, the patient was admitted and investigated. He had a fever and raised inflammatory markers. MRI of the pelvis revealed pyomyositis of the right adductor compartment extending into the pelvis. Pyomyositis should be considered in a patient with pain disproportionate to the physical examination findings.

https://doi.org/10.1136/emj.2008.074336

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and Peer review Not commissioned; externally peer reviewed.