Low Back Pain: Would it be Psoas Abscess?

Siu, Ayc; Law, KL; Lo, CB; Chung, CH

doi:10.1177/102490790200900406

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…In our series the mean catheter duration was 8.3 days, similar to rates reported in the literature (7 to 28 days), since longer duration can lead to fistula formation. ( 14 ) Our service has no case of fistula. Periodic US or CT were made each 3 to 4 days, to assess drain position and eventual need of correcting it.…”

Section: Discussionmentioning

confidence: 76%

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Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

Martins

Cavalcante

Falsarella

et al. 2018

Einstein (São Paulo)

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The aim of this study were to describe the technique of percutaneous drainage of iliopsoas abscess, and to discuss the benefits of using this minimally-invasive tool. A single center study with retrospective analysis of patients with psoas abscess confirmed by imaging scans, sent to the interventional medicine center and submitted to computed tomography and ultrasound-guided percutaneous drainage, from November 2013 to August 2016. Seven patients underwent percutaneous drainage of psoas abscess in this period. The mean initial drained volume was 61.4±50.7mL (ranging from 10 to 130mL), and the mean drainage duration was 8.3±2.8 days (ranging from 4 to 12 days). The success rate of the percutaneous procedures was 71.5%, and two patients required re-intervention. Image-guided percutaneous drainage of iliopsoas abscess is a minimally invasive, efficient and safe procedure, and an extremely valuable technique, especially for patients who are not suitable for surgical repair.

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Section: Discussionmentioning

confidence: 76%

“…Complete cure of abscess with percutaneous drainage was achieved in five patients (71.5%), with a recurrence rate of 28.5%, which is corroborated by the literature, with rates from 14% to 29%. ( 14 ) The clinical and radiological improvement, with no evidence of recurrence at 2 years or more, is considered a healed status. ( 15 )…”

Section: Discussionmentioning

confidence: 99%

Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

Martins

Cavalcante

Falsarella

et al. 2018

Einstein (São Paulo)

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“…Duration of drainage has been reported from 7 to 28 days 27. Longer duration can lead to fistula formation 25. We had one case of long duration discharge but no fistula formation.…”

Section: Discussionmentioning

confidence: 78%

“…27 Longer duration can lead to fistula formation. 25 We had one case of long duration discharge but no fistula formation. Followup USG/CT/MRI can be done to check the completeness of drainage and recurrence.…”

Section: Discussionmentioning

confidence: 89%

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Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique

Dave

Kurupati

Shah

et al. 2014

IJOO

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Background:Percutaneous aspiration of abscesses under ultrasonography (USG) and computer tomography (CT) scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutaneous continuous drainage (PCD) has reduced the recurrence rate. The disadvantage of PCD under CT is radiation hazard and problems of asepsis. Hence a technique of clinically guided percutaneous continuous drainage of the psoas abscess without real-time imaging overcomes these problems. We describe clinically guided PCD of psoas abscess and its outcome.Materials and Methods:Twenty-nine patients with dorsolumbar spondylodiscitis without gross neural deficit with psoas abscess of size >5 cm were selected for PCD. It was done as a day care procedure under local anesthesia. Sequentially, aspiration followed by guide pin-guided trocar and catheter insertion was done without image guidance. Culture sensitivity was done and chemotherapy initiated and catheter kept till the drainage was <10 ml for 48 hours. Outcome assessment was done with relief of pain, successful abscess drainage and ODI (Oswestry Disability Index) score at 2 years.Results:PCD was successful in all cases. Back and radicular pain improved in all cases. Average procedure time was 24.30 minutes, drain output was 234.40 ml, and the drainage duration was 7.90 days. One patient required surgical stabilisation due to progression of the spondylodiscitis resulting in instability inspite of successful drainage of abscess. Problems with the procedure were noticed in six patients. Multiple attempts (n = 2), persistent discharge (n = 1) for 2 weeks, blocked catheter (n = 2) and catheter pull out (n = 1) occurred with no effect on the outcome. The average ODI score improved from 62.47 to 5.51 at 2 years.Conclusions:Clinically guided PCD is an efficient, safe and easy procedure in drainage of psoas abscess.

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Transverse process osteotomy for surgical drainage of primary iliopsoas abscess and secondary cases combined with spondylodiscitis

Ibrahim

El-Rady

2020

International Orthopaedics (SICOT)

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Low Back Pain: Would it be Psoas Abscess?

Cited by 5 publications

References 8 publications

Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique

Transverse process osteotomy for surgical drainage of primary iliopsoas abscess and secondary cases combined with spondylodiscitis

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