Psoas abscess: diagnostic and therapeutic considerations in six patients

Psoas abscess: diagnostic and therapeutic considerations in six patients

Author Lopes, G. D. Google Scholar
Matone, Jacques Autor UNIFESP Google Scholar
Arasaki, Carlos Haruo Autor UNIFESP Google Scholar
Kim, Su Bong Autor UNIFESP Google Scholar
Mansur, Nacime Salomao Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Psoas abscess (PA) is an infrequent clinical entity and presents diagnostic and therapeutic challenges. Six cases are reported concerning diagnostic and therapeutic considerations. Clinical diagnosis is difficult because of non-specific symptoms. The primary psoas abscess has no definite etiology and is spread by hematogeneous route from a distant occult site. The PA can also be secondary to gastrointestinal pathology through direct infection of adjacent structures. The most common causes are Crohn's disease, appendicitis, diverticulitis and carcinoma. Routine laboratory evaluation is seldom useful for localizing the disease process. Conventional radiological techniques are often unhelpful. Modem imaging diagnosis techniques such as ultrasound and computerized tomography have allowed for a refinement in both the etiologic diagnosis and the treatment by means of CT-g-aided or ultrasound-guided percutaneous drainage of the abscess, thus avoiding surgical drainage in many cases. Immediately on diagnosis of PA prompt treatment is necessary. Percutaneous; drainage should be performed whenever possible and in case of failure, surgical drainage should be practiced as well as intestinal resection, whenever indicated.
Keywords psoas abscess
surgical infections
retroperitoneal abscess
Language English
Date 2000-10-01
Published in International Surgery. Chicago: Int College Of Surgeons, v. 85, n. 4, p. 339-343, 2000.
ISSN 0020-8868 (Sherpa/Romeo, impact factor)
Publisher Int College Of Surgeons
Extent 339-343
Access rights Closed access
Type Article
Web of Science ID WOS:000171003700015

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