Abstract
The case of a 51-year-old woman, with history of diabetes mellitus, who presented to the hospital for right lower quadrant pain and septic shock is discussed. The computed tomography (CT) findings led to the diagnosis of pyogenic sacroiliitis with secondary iliopsoas abscess and spreading of infection over the erector spinae and gluteal muscle. Management included surgical drainage of the abscess with intravenous antibiotic.
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