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

Ibrahim, Fady; El-Rady, Abd El-Rady Mahmoud Abd

doi:10.1007/s00264-020-04732-5

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…as initial factors (51)(52)(53)(54)(55)(56). Transient bacteremia can affect previously healthy children after strenuous or vigorous exercise or following localized and possibly unnoticed trauma (1, 2), as in the present case.…”

Section: Discussionmentioning

confidence: 67%

“…Patients with decreased immune response, especially with primary immune deficiencies, will be more susceptible to pyogenic infections, including iliopsoas abscess. In more than three-fourths of cases, S. aureus has been causing bacteria in primary iliopsoas abscess, but for the secondary type, Gram-negative or anaerobic bacteria usually grow on pus culture (51)(52)(53)(54)(55)(56).…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-Guided Percutaneous Drainage of Iliopsoas Abscess With Septicemia in an Adolescent: A Case Report and Literature Review

Jiang¹,

Zhang

Fu³

et al. 2022

Front. Surg.

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IntroductionIliopsoas abscess with septicemia in the pediatric population is rare. Early diagnosis and effective management of this emergent disorder remain challenging for clinicians.Case PresentationA 14-year-old girl presented with right lateral and posterior hip pain and fever for 7 days before admission. Blood culture was positive for Staphylococcus aureus. Enhanced magnetic resonance imaging revealed abscesses located in the right iliopsoas muscle and on the surface deep to the fascia of the right sacroiliac joint that were 6.8 cm × 6.2 cm × 5.7 cm and 3.7 cm × 3.5 cm × 2.1 cm, respectively. A diagnosis of right iliopsoas abscesses with septicemia was made. The patient received intravenous antibiotics, underwent ultrasound-guided percutaneous catheter drainage, and recovered uneventfully. Medical literature regarding this issue published in the English language during the last two decades was reviewed.DiscussionPrimary synchronous psoas and iliacus muscle abscesses are rare and emergent disorders in the pediatric age group. The diagnosis is generally delayed owing to the deep anatomic location and nonspecific signs and symptoms. A comprehensive medical history, meticulous physical examination, and judicious use of imaging studies could establish a timely and accurate diagnosis. Surgeons should be aware of the occurrence of multiple abscesses. Prompt and adequate antibiotic therapy accompanied by a mini-invasive approach, such as ultrasound-guided, laparoscopic, or video-retroperitoneoscopic drainage of the infectious focus, if indicated and feasible, is important to achieve a good outcome in the management of iliopsoas abscess.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Drainage of Iliopsoas Abscess With Septicemia in an Adolescent: A Case Report and Literature Review

Jiang¹,

Zhang

Fu³

et al. 2022

Front. Surg.

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“…Antibiotic therapy alone is reportedly less effective in cases where the maximum diameter of an IPA exceeds 3.5 cm [ 18 ] or when coronal CT images show it to be >5.0 cm and axial CT images to be >2.3 cm [ 19 ]. In patients with gas-forming and multilocular IPAs, surgical intervention is recommended because the success rate of percutaneous drainage is low, and the mortality rate is high [ 20 , 21 ]. In the present case, gas was not confirmed; however, the maximum IPA size was larger than 5.0 and 2.3 cm in longitudinal and transverse diameters, respectively, and antibiotic therapy alone was not indicated.…”

Section: Discussionmentioning

confidence: 99%

A large iliopsoas abscess due to colon cancer complicated by bowel obstruction: A case report

Nohmi,

Ikenaga,

Itaya

et al. 2024

International Journal of Surgery Case Reports

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“…The pPAs are more common in patients younger than 20 years of age (2,20). Recent studies have reported that the prevalence of pPA has increased to 38.3% in advanced age (21,22). In contrast to the old literature, age distribution concentrated on the fourth to the fifth decades of life in Group A whereas the fifth and sixth decades of life in Group B in the present study, compatible with the current literature.…”

Section: Discussionmentioning

confidence: 99%

An Appraisal of Clinical and Hematological Parameters Linked to Recurrence in Surgically Drained Primary Psoas Abscesses: A Retrospective Comparative Study

Gönder¹,

KAYA>

Kılınçoğlu

et al. 2023

Medical Records

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Aim: This study aimed to evaluate clinical and laboratory parameters associated with recurrence in primary psoas abscess. Psoas abscess is a rare infective condition with frequent complications during the diagnosis and treatment process. There is limited information in the literature regarding prognostic factors that determine the prognosis of psoas abscess. Material and Methods: Fifty-two patients who were diagnosed with psoas abscess and treated with surgical drainage in a university hospital between 1998 and 2018 were included in our study. The patients were seperated into two groups as those who recovered after surgical drainage (Group A) and those who developed recurrence (Group B). Clinical and laboratory data of the patients from the beginning of the preoperative period to the postoperative period were compared. Results: The mean age was 47.42 ± 14.12 years in Group A and 53.81 ± 15.83 years in Group B. The mean follow-up time was 43.96 ± 14.29 months. The neutrophil to lymphocyte ratio was 11.38 ± 1.69 in Group A and 18.75 ± 2.31 in Group B (p=0.001). The platelet to lymphocyte ratio was 114.96 ± 30.31 in Group A and 139.70 ± 42.25 in Group B (p=0.016). The Acute Physiology and Chronic Health Evaluation (APACHE II) score was higher in Group B (p=0.001). Conclusions: According to the results of the current study, the neutrophil to lymphocyte ratio, the platelet to lymphocyte ratio, the APACHE II score, and the delayed diagnosis are all important prognostic indicators linked to recurrence in instances with primary psoas abscess.

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

Cited by 3 publications

References 14 publications

Ultrasound-Guided Percutaneous Drainage of Iliopsoas Abscess With Septicemia in an Adolescent: A Case Report and Literature Review

Ultrasound-Guided Percutaneous Drainage of Iliopsoas Abscess With Septicemia in an Adolescent: A Case Report and Literature Review

A large iliopsoas abscess due to colon cancer complicated by bowel obstruction: A case report

An Appraisal of Clinical and Hematological Parameters Linked to Recurrence in Surgically Drained Primary Psoas Abscesses: A Retrospective Comparative Study

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