Interventional management of iliopsoas abscess in a post renal transplant patient

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Various types of collections can occur around the transplanted kidney. We present one such rare complication of psoas abscess underneath the transplanted kidney. Patient was on immunosuppression therapy post transplant and already had pulmonary tuberculosis treated with anti-tubercular treatment. Psoas abscess was diagnosed on subsequent follow up and managed successfully with ultrasound guided placement of percutaneous drainage catheter along with antibiotic therapy based on the culture report. Percutaneous drainage in combination with antibiotics is a viable alternative to more invasive surgical drainage for management of psoas abscess in post transplant patients.