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[Treatment of psoas abscess: percutaneous drainage or open surgery]
C Conde Redondo1, J Estebanez Zarranz, A Rodrigues Toves
1Servicio de Urologia, Hospital Universitario Rio Hortega, Valladolid, Espagne.
Objective:
Psoas abscess is currently an uncommon disease and is often difficult to diagnose because of its minor initial symptoms. We compare treatment by percutaneous drainage and surgery.
Material And Methods:
Five patients, all immunodepressed, which appears to be an important factor in the aetiology and pathogenesis of psoas abscess. Computed tomography appears to be the best diagnostic method.
Results:
Three subjects underwent open surgery and developed serious complications in contrast with two patients treated by CT-guided percutaneous drainage, preceded by antibiotics.
Conclusion:
First-line percutaneous drainage appears to be the best approach at the present time, reserving open surgery for very large abscesses.