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Psoas abscess: diagnostic and therapeutic considerations in six patients.
Int Surg. 2000 Oct-Dec; 85(4):339-43.IS

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. Modern 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-guided 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.

Authors+Show Affiliations

de Jesus Lopes Filho G
Surgery Department, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
Matone J
No affiliation info available
Arasaki CH
No affiliation info available
Kim SB
No affiliation info available
Mansur NS
No affiliation info available

MeSH

AdolescentAdultAgedAnti-Bacterial AgentsBrazilCombined Modality TherapyDrainageDrug Therapy, CombinationFemaleFollow-Up StudiesHumansKlebsiella InfectionsMalePsoas AbscessStaphylococcal InfectionsTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11589604

Citation

de Jesus Lopes Filho, G, et al. "Psoas Abscess: Diagnostic and Therapeutic Considerations in Six Patients." International Surgery, vol. 85, no. 4, 2000, pp. 339-43.
de Jesus Lopes Filho G, Matone J, Arasaki CH, et al. Psoas abscess: diagnostic and therapeutic considerations in six patients. Int Surg. 2000;85(4):339-43.
de Jesus Lopes Filho, G., Matone, J., Arasaki, C. H., Kim, S. B., & Mansur, N. S. (2000). Psoas abscess: diagnostic and therapeutic considerations in six patients. International Surgery, 85(4), 339-43.
de Jesus Lopes Filho G, et al. Psoas Abscess: Diagnostic and Therapeutic Considerations in Six Patients. Int Surg. 2000 Oct-Dec;85(4):339-43. PubMed PMID: 11589604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psoas abscess: diagnostic and therapeutic considerations in six patients. AU - de Jesus Lopes Filho,G, AU - Matone,J, AU - Arasaki,C H, AU - Kim,S B, AU - Mansur,N S, PY - 2001/10/9/pubmed PY - 2001/11/3/medline PY - 2001/10/9/entrez SP - 339 EP - 43 JF - International surgery JO - Int Surg VL - 85 IS - 4 N2 - 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. Modern 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-guided 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. SN - 0020-8868 UR - https://www.unboundmedicine.com/medline/citation/11589604/Psoas_abscess:_diagnostic_and_therapeutic_considerations_in_six_patients_ L2 - https://medlineplus.gov/antibiotics.html DB - PRIME DP - Unbound Medicine ER -