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[Primary psoas abscess in children: 6 cases]

M Golli1, C Hoeffel, M Belguith

  • 1Service de radiologie, hôpital universitaire Fattouma-Bourguiba, Monastir, Tunisie.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|February 1, 1995
PubMed
Summary
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Pediatric psoas abscesses, though rare, can be effectively diagnosed and treated using advanced imaging like CT scans. CT-guided needle aspiration aids in identifying the abscess and guiding treatment, improving outcomes in children.

Area of Science:

  • Pediatric Infectious Diseases
  • Radiology
  • Surgical Interventions

Background:

  • Primary psoas abscess is an uncommon pediatric condition.
  • Diagnosis and treatment can be enhanced by modern imaging modalities.

Purpose of the Study:

  • To evaluate the role of imaging techniques in diagnosing and managing pediatric primary psoas abscess.
  • To assess the effectiveness of CT-guided interventions.

Main Methods:

  • Retrospective review of six pediatric patients (11 months to 10 years) with primary psoas abscess.
  • Utilized X-rays, ultrasonography, and CT scans for diagnosis.
  • Bacteriological studies via needle aspiration and treatment including antibiotics, percutaneous catheter drainage, and surgical drainage.

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Main Results:

  • CT scan accurately identified abscesses in all cases.
  • Staphylococcus aureus was the most common pathogen (five cases).
  • Successful treatment achieved with CT-guided percutaneous catheter drainage in two patients and surgical drainage in three.

Conclusions:

  • CT-guided needle aspiration is valuable for diagnosing psoas abscesses in children.
  • This technique can be extended for therapeutic purposes, including drainage.