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Am Fam Physician. 2022;106(6):707-708

Author disclosure: No relevant financial relationships.

A 61-year-old woman presented with a recurrent right groin abscess. Two years earlier, she had presented to the emergency department with proximal right thigh pain and swelling of one week’s duration. She was presumed to have a hematoma or abscess and was treated with oxycodone/acetaminophen and amoxicillin/clavulanate. She was subsequently examined and treated every few months for a presumed abscess. She underwent five incision and drainage procedures, surgical wound debridement, a wide excision of the abscess, treatment with antibiotics, wound care, and imaging studies. Despite short-term improvement, the abscess did not fully heal and symptoms recurred.

The patient’s medical history included fibromyalgia and stress urinary incontinence. Her surgical history included total hysterectomy, transobturator and retropubic midurethral sling procedure, and cholecystectomy. She had a 40-pack-year smoking history.

On physical examination, the area was painful to palpation, and bloody fluid was draining from the abscess (Figure 1). Mild erythema was present around the abscess, but no fluctuance or warmth was noted. The right hip had full range of motion.

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