Easy drainage of presacral abscess

Nigam, Vishal; Chhabra, Harvinder Singh

doi:10.1007/s00586-006-0272-z

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…Percutaneous drainage of abscesses is a safe and effective alternative to open surgical treatment and is indicated when neurological pressure symptoms or a lack of response to medical treatment occur [51]. It can also be beneficial in completing medical treatment of large iliopsoas abscesses [5,17].…”

Section: Interventional Proceduresmentioning

confidence: 99%

Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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Tuberculosis (TB) continues to be an important public health problem in developed countries especially in deprived socioeconomic groups, older people, immunocompromised patients, drug-therapy resistant cases and the immigrant population. The spine is the most frequent location of musculoskeletal TB. The wide range of clinical presentations results in difficulties and delays in diagnosis. Advanced disease mimics other infections and malignancy. The diagnosis of spinal infections relies on three main factors: clinical symptoms, imaging and bacteriological culture. Advanced imaging such as Magnetic Resonance Imaging (MRI), Multidetector Computed Tomography (MDCT) and Fluor18-Deoxiglucose Positron Emission Tomography combined with CT (F-18 FDG PET-CT) demonstrate lesion extent, serve as guide for biopsy with aspiration for culture, assist surgery planning and contribute to follow-up. Diagnosis of TB cannot be established solely on the basis of clinical tests or imaging findings and biopsy may be required. Differential diagnosis between tuberculous and pyogenic spondylitis is of clinical importance, but may be difficult on the basis of radiological findings alone. Findings not pathognomonic but favoring tuberculous etiology include: slow progression of lesions with late preservation of disk space, involvement of several contiguous segments, large intraosseous and paraspinal abscesses containing calcifications, and body collapse with kyphotic deformity. In this essay the highlights of TB imaging are reviewed through published literature. In addition, we review retrospectively the radiological findings of 48 patients with tuberculous spondylitis treated from 1993 to 2010. There were 23 male and 25 female patients with a mean age of 53 years.

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Section: Interventional Proceduresmentioning

confidence: 99%

Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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“…8 The spine is the most commonly affected skeletal site for tuberculosis, and Pott's paralysis is well documented. 9 A wide range of iatrogenic causes are reported, including manipulation, 10 spinal anaesthesia, 11 postoperative complications such as haematoma 12 or gelfoam implanted to protect the dura. Other space-occupying lesions, such as nerve derived tumours, schwannomas, ependymomas, facet joint cysts, 13 perineural Tarlov cysts, haemangiomas, 14 vena varix, 15 and hydatid cysts 16 are also recognised.…”

Section: What Causes Cauda Equina Syndrome?mentioning

confidence: 99%

Cauda equina syndrome

Lavy

James

Wilson-MacDonald

et al. 2009

BMJ

132

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“…In their series, the drainage volume was ranged from 85 to 1450 mL (mean volume 321 mL), which are significantly much lower than our case. Other factors such as delayed presentation of the disease may exhibit formation of granulation tissue, which will require more aggressive approach [ 18 ]. Optimal debridement will improves the pharmacokinetic effectiveness of anti-tuberculosis drugs [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Submuscular gluteal abcess: An unusual presentation of rare sacral tuberculosis

Djaja

Phedy

Silitonga

et al. 2019

International Journal of Surgery Case Reports

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HighlightsGluteal abscess and sacral tuberculosis are rare entities in spine tuberculosis, as to our knowledge; this is the second case report about it.MRI has a great role to describe anatomical pathophysiology of the abscess dissemination from sacral tuberculosis.Sacral tuberculosis should be made as the main differential diagnosis for atypical sacral lesion that occurs with submuscular gluteal abscess.

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Easy drainage of presacral abscess

Cited by 8 publications

References 10 publications

Imaging findings of Pott’s disease

Imaging findings of Pott’s disease

Cauda equina syndrome

Submuscular gluteal abcess: An unusual presentation of rare sacral tuberculosis

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