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July 25, 1977

Subgluteal Abscess and Endocervical Canal Infection

JAMA. 1977;238(4):306. doi:10.1001/jama.1977.03280040026011

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To the Editor.—  I read with interest the article on retropsoas and subgluteal abscesses (237:892, 1977). Spreading infection from the endocervical canal can also be a source of subgluteal abscess, as evidenced in a patient of ours two years ago.This young woman had an intrauterine device (IUD) in place, and a Bacteroides infection in the endocervical canal developed; it spread into the adjacent paracervical tissue and caused a severe pain in her left hip when walking. She saw an orthopaedic surgeon who noted a swelling in the left buttock, and in due course he admitted her to the hospital and drained a subgluteal abscess. The cultures recovered the same organism as those taken from the endocervical canal in and about the area of the IUD. We ultimately had to redrain the abscess in the subgluteal area on two different occasions.It was only with long-term intravenous antibiotics therapy and