Related Experiment Videos
[Psoas abscesses. Genesis, diagnosis, and therapy]
M Korenkov1, N Yücel, J M Schierholz
1II.Chirurgischer Lehrstuhl der Universität zu Köln, Klinikum Cologne-Merheim. michael.korenkov@uni-koeln.de
Summary
Computed tomography (CT) is crucial for diagnosing psoas abscesses. CT-guided drainage is preferred, but open retroperitoneal drainage remains a standard treatment option with no observed recurrence.
Area of Science:
- Medical Imaging
- Surgical Procedures
- Infectious Diseases
Background:
- Psoas abscess is a rare condition with diverse causes and subtle symptoms, often leading to delayed diagnosis and complications.
- Early diagnosis and effective treatment are essential to reduce patient morbidity and hospitalization duration.
Observation:
- A retrospective analysis of ten psoas abscess cases (1996-2002) was conducted, with a literature review.
- Computed tomography (CT) scanning proved decisive in diagnosing all psoas abscess cases.
- The majority of abscesses were located on the right side, with primary and secondary etiologies identified.
Findings:
- CT-guided drainage was performed in four patients, while open retroperitoneal drainage was used for five.
- Common causative agents included Staphylococcus aureus, Bacteroides fragilis, and Escherichia coli.
- No postoperative mortality or abscess recurrence was observed in the study cohort.
Implications:
- CT is the gold standard for psoas abscess diagnosis.
- CT-guided drainage is the preferred initial treatment, with open retroperitoneal drainage as a reliable alternative.
- Individualized postoperative antibiotic therapy is mandatory for successful outcomes.