Retroperitoneal Abscesses: Origin, Ethiology And Percutaneous Treatment

Abstract

We retrospectively evaluated the data of 91 cases with 51 men (mean age 55.48) and 40 women (mean age 48.17) who were diagnosed with Retroperitoneal abscess between June 2010 and December 2017. The ethical approval of this study is received from our own institution (25.04.2018; 003). Demographic data, location and origin of the abscess, predisposing factors, urine, blood and ABSTRACT Retroperitoneal abscess is a rare clinical condition that can cause mortality if not properly treated. In our study, we aimed to report the data of retroperitoneal abscess cases which performed percutaneous drainage in the first step treatment. A retrospective study was made of 81 patients with retroperitoneal abscesses treated at our hospital from June 2010 to December 2017 for the purpose of analyzing the diagnosis and treatment of these rare infections. In each case, we analyzed patient characteristics, abscess location and origin, predispo sing factors, clinical presentation, microbiology, radiographic findings, treatment, and outcome. 81 cases were identified as 11 (14%) primary and 70 (86%) as secondary. The majority (63%) of these abscesses were originated from Urinary System, while others were found to be originated from psoas, vertebral and Gastrointestinal system (GIS). Urolithiasis, previous surgery, and other Urinary system anomalies were determined to be the most common predisposing factors. Escherichia coli (E. coli) was the most commonly seen pathogen in abscess culture. In all patients, percutaneous drainage catheter was successfully placed in the abscess lodge. No serious complications occurred in patients during and after the procedure. 78/81 (96%) clinical success was achieved. In 12 months follow-ups, recurrence was seen in only 5 patients. Percutaneous abscess drainage should be preferred in the treatment of retroperitoneal abscesses as easy to perform, cost effective, low complication risk and high success rate

Retroperitoneal Abcess Profiles in a Tertiary Hospital in Bandung, Indonesia : Long Term Retrospective Study

“…ISSN 2621-1122 (Online) Kesehatan recorded in abscesses originating from the digestive tract, with Escherichia coli being the most common pathogenic agent in general, followed by Klebsiella pneumonia in a study done by Huang et al In abscesses of vertebral origin, mycobacteria were shown to be the most prevalent pathogen. 1,2,4,6,9,10,11 Klebsiella pneumonia prevalence was higher than Proteus mirabilis in abscesses originating from the urinary tract in Taiwan compared to other countries. assisted with ultrasound or operation are the main treatment choices accompanied by an antibiotic prescription.…”

“…The retroperitoneum is covered in the upper part of the diaphragm but open in the pelvic and hip area, which is why the abscesses are spread bilaterally in an inferior direction. [3][4][5][6][7] A retroperitoneal abscess is a rare infective state that mostly affects an age group of 30 to 50 years old, with a larger percentage in males. 8 It was consistent with our case that the average patient age was 50.14 years old, ranging from 15 to 55 years old.…”

“…1 To confirm the clinical analysis of a retroperitoneal abscess, the classification for retroperitoneal abscess has been simplified to five components: (1) perinephric, (2) upper retroperitoneum (above the pelvis), (3) pelvis, (4) combination of upper retroperitoneum and pelvis, and (5) localized musculoskeletal (for example, on the iliac, psoas, or the gluteus muscle). [2][3][4][5][6] Source of infection on retroperitoneal abscess can be primary or secondary infection, where the primary infection is usually hematogenous localized on the muscle or vertebrae. Meanwhile, secondary infection is generally caused by an infection of the organs in the retroperitoneal cavity.…”

“…The buildup of purulent materials may occur in various places, such as the perirenal, pararenal, or the psoas muscle and the pelvic cavity. [1][2][3][4] Retroperitoneal abscess is often misdiagnosed or diagnosed in its final stage. This condition causes a high mortality rate.…”

“…Early diagnosis, as well as proper drainage management, is predicted to be able to reduce morbidity and mortality significantly. [2][3][4] Although a retroperitoneal abscess rarely occurs, it causes a high mortality rate. Additionally, not much data is available regarding patients with retroperitoneal abscess characteristics.…”