Psoas abscess. Percutaneous resolution

Abstract

Description of the case of a patient who goes to the emergency service of one General Hospital Zone of the Instituto Mexicano del Seguro Social, I.M.S.S. with a left abdominal-inguinal pain and fever of one month of evolution. The study of the case, gets tomographic evidence of a left psoas abscess of large dimensions is obtained with laboratory tests compatible with systemic inflammatory response. Percutaneous drainage was performed in the emergency service to continue his hospital stay later, with gradual improvement until his discharge. Few cases are reported of this pathology and much less of those that can be resolved in this way so little invasive.

Cirugía percutánea, experiencia de 5 años en un hospital de mediana complejidad

“…In most cases, clinical suspicion prompts the need for imaging confirmation, with CT being the preferred method. (7) In our study, CT was used in 67% of cases for diagnosing the conditions that necessitated various percutaneous drainages.…”

“…(5,6) Additionally, PD can be used for psoas muscle abscesses. (7,8) PD is also indicated for complications of pancreatitis, such as pancreatic pseudocysts, infected collections, or necrotizing pancreatitis, to evacuate contents and avoid open necrosectomy. (9,10) The multipurpose pigtail catheter is the most commonly used, with the catheter diameter determined by the material being drained, thicker tubes preferred for more viscous material.…”