Ilio-psoas abscess: diagnosis and management

Area of Science:

• Medical Imaging
• Infectious Diseases
• Surgical Procedures

Background:

• Iliopsoas abscesses can mimic hip, genitourinary, or gastrointestinal conditions.
• Symptoms include fever, limp, and pain in the flank, pelvis, or leg.

Purpose of the Study:

• To report on the diagnosis and treatment of iliopsoas abscesses in adolescents and young adults.
• To highlight the role of imaging and minimally invasive drainage techniques.

Main Methods:

• Retrospective review of six cases diagnosed with iliopsoas abscess.
• Diagnosis confirmed by ultrasonography and/or computed tomography.
• Treatment involved percutaneous retroperitoneal drainage or surgical transperitoneal drainage.

Main Results:

• Six patients (adolescents and young adults) diagnosed with iliopsoas abscess.
• Ultrasonography and computed tomography were effective diagnostic tools.
• Four patients treated successfully with percutaneous drainage and antibiotics; two with surgical drainage.

Conclusions:

• Iliopsoas abscess is a treatable condition in young patients.
• Ultrasonography and computed tomography are valuable for diagnosis.
• Percutaneous retroperitoneal drainage is a successful minimally invasive treatment option.