Tratamiento percutáneo de absceso de músculo psoas ilíaco secundario a espondilodiscitis (original) (raw)
Psoas Abscess: Evaluation of 15 Cases and Review of the Literature
Journal of Urological Surgery, 2014
Psoas abscess (PA) is a rare disease, presenting with high mortality and morbidity particularly when diagnosed late. PA should be considered in patients who had history of abdominal surgery and high fever resistant to treatment. Early diagnosis and treatment may decrease high mortality and morbidity rate. Contrary the literaure which stated that PA is more commen in patients younger than 20, we found the mean age as 58.5.
An Atypical Case of Psoas Abscess in an Elderly Patient
European Journal of Geriatrics and Gerontology
Psoas abscess (PA), the accumulation of suppurative fluid in the fascia surrounding the psoas muscle, is a rare condition, with difficult diagnosis. Pain, fever, and limping are its main symptoms. In this paper, we report a case of PA presenting with non-specific symptoms, such as pain and fatigue. After the diagnosis, drainage of PA was performed, and intravenous antibiotic treatment was started immediately. The patient was discharged with improvements in his general condition after three weeks of treatment. This case suggests that PA should be considered in geriatric patients presenting with nonspecific symptoms such as fatigue, loss of appetite and weight loss as well as waist and hip pain. Early diagnosis may significantly decrease the risk of morbidity and mortality.
Psoas Abscess – the Changing Trends
International Journal of Medical Science And Diagnosis Research, 2021
Introduction: Psoas abscess (IPA) is an abscess collection in the retroperitoneal space tracking along the psoas major muscle. The microbial etiology of Psoas abscess is variable and depends on the geographical area. This study attempts to evaluate the microbial etiology, its implication in deciding the management modalities, and outcomes in patients with Psoas abscess from a tertiary care center in South India. Materials and Methods: This was a retrospective study done in a tertiary care center in Southern India. Results: A total of 47 patients were enrolled in the study, with causative organism identified in 40 (85.15%) patients. In 17 patients (36.17%), it was found to be tuberculous origin; and of nontuberculous origin in 23 patients (48.93%). No causative organism could not be isolated in 7 patients (14.89%). While 33 patients were treated with percutaneous drainage (70.12%), open drainage was done in 14 patients (29.78%) and 1 patient died (2.12%). Conclusion: The most common ...
Giant primary psoas abscess: masquerading peritonitis-for diagnosis and treatment
Acta medica Indonesiana, 2013
Primary psoas abscess is a distinct clinical entity with vague clinical presentation and obscure pathogenesis, although the literature regarding it is sparse. Psoas muscle abscess is an uncommon clinical phenomenon, extremely difficult to diagnose and needs to be investigated with considerable thoroughness. We emphasize the importance of ultrasonography and computed tomography along with role of the treatment. A 15-year old female presented with pain and distention of the abdomen. We report an extremely rare case of bilateral giant psoas abscess diagnosed as peritonitis. Ultrasonography showed abscess of the left psoas muscle which ruptured anteriorly into the peritoneal cavity and caused intraperitoneal abscess but computed tomography revealed different picture. In our case, computed tomography has the main role in the diagnosis/management of the psoas abscess. Conservative treatment was given using antibiotics and drainage. The patient was discharged in good condition. In follow-u...
RENAL PERINEPHRIC ABSCESS COMPLICATED WITH PSOAS MUSCLE ABSCESS (CASE REPORT
Perinephric abscess is an uncommon complication of urinary tract infections. The incidence ranges from 1-10 cases for every 10 000 hospital admissions. Men and women are affected with equal frequency.E.coli, Proteus speacies and Staphylococcus aureus are the unusual etiologic organisms. There were very few reports about urinary tract infections such as renal perinephric abscess complicated with psoas muscle abscess. Renal and perirenal abscess can complicate a urologic infection(usually due to gram-negative enteric bacilli or a polymicrobial infection). This clinical case of a 24 year old men with predisposing condition for secondary psoas muscle abscess(6 year history of the right non functional kidney), is interesting because of unusual etiologic organisms for psoas muscle abscess Proteus mirabilis,which is highly flagellate , have stone formation ability which is very difficult to clear with only antibiotics, has predilection for the kidney and are difficult to eradicate.
Journal of Pediatric Surgery, 1985
In children, psoas abscess does not head the list in the differential diagnosis of the child who presents with a limp or lower abdominal pain. Therefore, the road to this diagnosis can be long and complicated leading to numerous studies and specialty consultations. Over a 7-year period, seven psoas abscesses have been drained surgically. All were Staphlococcal though one was mixed. In each case, the original admitting diagnosis was that of septic arthritis of the hip. In general, this diagnosis was ruled out by negative hip aspirations and bone scans. Often, the severity of symptoms led to persistent evaluation with noninvasive tests such as gallium scan, intravenous pyelogram, or barium enema. Though these tests were often suggestive, a positive ultrasound or CT scan was the key studies diagnostic enough to warrant surgical exploration and drainage. During this time period, there have been no negative explorations for psoas abscess. Upon surgical drainage, all patients improved, with subsequent recovery of hip function. The child who presents with a limp or painful hip should be considered for ultrasonography or computerized tomography once hip pathology is ruled out. We feel that the results of other tests such as gallium scan, IVP, or barium enema are not sufficiently specific to indicate surgery.
Characteristics and Outcomes of Psoas Abscess: Experience From a Tertiary Care Center in North India
Cureus, 2022
Background Psoas abscess (PA) is an uncommon disease involving infection of the psoas muscle with abscess formation. The evidence concerning clinical and diagnostic characteristics of PA and its outcomes is limited. The literature is heterogenous, with varying presentations and outcomes in different regions worldwide. We present a retrospective analysis of the clinical, radiological, and laboratory characteristics of PA, its management, and outcomes from a tertiary care center in North India. Methodology We reviewed the clinical records of confirmed cases of PA treated in our institute from January 2016 to December 2020 with a minimum follow-up of one year. Further, we performed a descriptive analysis of demographic characteristics, clinical features, laboratory parameters, radiological investigations, the basis of diagnosis confirmation, causative microorganisms, definitive management, treatment outcomes, and complications. Results We reviewed 33 cases with a mean age of 29.9 ± 16.8 years. Overall, 48.4% of PAs were right-sided, and 24.2% were bilateral. Abdominal discomfort was the most common presenting symptom. Blood laboratory parameters were mostly within the near-normal range except for the elevated erythrocyte sedimentation rate, C-reactive protein, and neutrophil-to-lymphocyte ratio. Ultrasonography was the most commonly performed radiological investigation and was the basis of diagnosis confirmation. Mycobacterium tuberculosis was the most common causative microorganism. Most patients required percutaneous drainage, and around one-fourth required open drainage. All patients had symptomatic as well as radiological improvement and no major complications. Conclusions Tuberculosis is the most prevalent cause of PA in the North Indian population. Most patients respond well to the less invasive treatment with percutaneous therapeutic drainage and antitubercular drugs, with few patients requiring open drainage. However, tissue diagnosis may remain inconclusive in a few patients, and antitubercular treatment may need to be initiated based on the clinicoradiological evaluation. Nevertheless, the rate of complications is low, with nil mortality probably related to the mild-to-moderate disease course of tuberculosis.
Infectious Diseases in Obstetrics and Gynecology, 2004
Background: Primary psoas muscle abscess is rare and can be difficult to diagnose, particularly during pregnancy. Case: To our knowledge, this is the first case of primary psoas muscle abscess diagnosed during pregnancy. Clinical investigation did not reveal any infection spreading from adjacent structures. Surgical drainage and simultaneous Cesarean delivery of the infant, combined with appropriate antibiotics, enabled a cure. Conclusion: The possibility of psoas muscle abscess should be taken into account when investigating lower back pain during pregnancy if conventional approaches are unsatisfactory.
A 65-year-old woman presented with a painful, swollen, red right thigh and the mild pain in the right abdomen without nausea, vomiting or diarrhoea that lasted for 1 week. Laboratory findings revealed elevated inflammatory markers. Computed tomography of the right thigh, abdomen and pelvis showed an abscess formation in the adductor muscles draining from the abscess that completely occupied the right retroperitoneum up to the diaphragm, dissecting downward through the inguinal canal. Appendix was enlarged with an appendicolith. Emergent exploratory laparotomy revealed a perforated appendix with psoas abscess. Pathohistological diagnosis revealed adenocarcinoma of the appendix. Thigh abscess is an uncommon condition with insidious clinical presentation. Therefore, early recognition and setting of the correct diagnosis enables adequate treatment avoiding additional complications and in some cases potential life-threatening conditions. When upper leg abscess is suspected or proven abdominal examination is mandatory.