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...

Primary Psoas Abscess in a Pediatric Patient: A Case Report

Cureus

A psoas abscess is described as a collection of pus in the iliopsoas muscle compartment, which comprises the psoas and iliacus muscles located in the extraperitoneal space. It can be considered a primary abscess due to hematogenous or lymphatic seeding from a distant site, primarily occurring in children in tropical or developing countries. These primary infections are typically due to a single microorganism, most commonly, Staphylococcus aureus. Secondary spread develops due to the direct spread of infection of the psoas muscle from an adjacent structure (hip, vertebrae, gastrointestinal tract, aorta, genitourinary tract), developing due to trauma or instrumentation of the inguinal region, lumbar spine, or hip region. The secondary infections can be either mono-or polymicrobial and include enteric and anaerobic organisms. We present a case of psoas abscess in a five-year-old female who presented with a progressively worsening pain in the right hip for three days with refusal to bear weight and no history of trauma. Hip x-ray imaging yielded no abnormal results, but laboratory values prompted further investigation, leading to identifying a right psoas abscess via MRI with surrounding edema and enhancement. Imaging modality choice has proven to be instrumental in identifying psoas abscess and is key to achieving a diagnosis.

Psoas muscle abscess simulating acute appendicits: A case report

International journal of surgery case reports, 2016

Psoas abscess is a rare clinical entity with vague symptomatology. We report a psoas abscess that simulated symptoms of acute appendicitis. A twenty-five year old male presented pain irradiating to the right iliac fossa and lumbar region associated with thigh flexion. Laboratorial exams revealed leukocytosis with a neutrophil shift to the left. Abdominal Ultrasound showed significant intestinal distension and a small quantity of free fluid at the right iliac fossa. Laparotomy and an appendectomy were performed. During immediate post-operative, the patient evolved with worsening of the pain and the leukocytosis, therefore, we chose to maintain his antalgic posture. An abdominal Computerized Tomography scan with contrast was solicited, revealing an increase of the iliac and psoas muscles of the right side, and multiple bacterial focuses. A retroperitoneal access was performed and 300ml of purulent secretion was drained. Afterwards, we implanted a Penrose Drain. The patient had a good ...

Psoas abscess–unusual cause of groin pain

European Journal of Orthopaedic Surgery & Traumatology, 2005

Suppurative psoas abscess is a relatively rare lesion in the UK, and lack of familiarity with it can present a major difficulty in diagnosis. The presenting symptoms are often at the hip rather than at the abdomen or spine. We report a case of non-tuberculous suppurative psoas abscess in a 25 year old man who presented with hip pain. Septic arthritis of the hip joint was ruled out by aspiration of the hip, and the diagnosis of psoas abscess was made by MRI scan.

Psoas abscess rarely requires surgical intervention

The American Journal of Surgery, 2008

BACKGROUND: Surgeons are increasingly encountering psoas abscesses. METHODS: We performed a review of 41 adults diagnosed and treated for psoas abscess at a county hospital. Treatment modalities and outcomes were evaluated to develop a contemporary algorithm. RESULTS: Eighteen patients had a primary psoas abscess, and 23 had a secondary psoas abscess. Patient characteristics were similar in both groups. Intravenous drug abuse was the leading cause of primary abscesses. Secondary abscesses developed most commonly after abdominal surgery. Treatment was via open drainage (3%), computed tomography-guided percutaneous drainage (63%), or antibiotics alone (34%). Four recurrences occurred in the percutaneous group. Statistical analysis showed that the median size of psoas abscesses in the percutaneous group was significantly larger than in the antibiotics group (6 vs 2 cm; P Ͻ .001). The mortality rate was 3%. CONCLUSIONS: Initial management of psoas abscesses should be nonsurgical (90% success). Small abscesses may be treated with antibiotics alone, and surgery can be reserved for occasional complicated recurrences.