[Ultrasonography in the diagnosis and treatment of psoas abscess. Apropos of a study with 30 patients].
The abscess of psoas are more often secondary to a loco-regional cause. The authors report a series of 42 abscess of psoas in 30 patients during 3 years. It concerns 16 men and 14 women witch a mean age of 35 years. The abscess was secondary to a spondylodiscis in 25 patients and primary in 5 patients. The size of the abscess was upper 5 cm with a variable ultrasound structure: liquid in 33 cases, hypoechogenic in 9 cases. All patients underwent a percutaneous treatment guided by ultrasonography. A single or multiple evacuation puncture with 16 Gauge needle were performed for 40 abscess. Complementary percutaneous drainage with 14 french drain was used in 3 cases. In 2 other cases, the percutaneous drainage was used firstly. The bacteriological study of puncture liquid isolated the germ in 8 cases. Evaluation has been assessed in only 29 cases. The recovery was reached in 12 abscess on 15 which were treated by a single puncture. In 10 abscess on 13 treated by multiple puncture; and in 4 abscess an 5 managed by drainage. The results demonstrate the accuracy of single or multiple drainage puncture associated with adapted antibiotherapy in the management of abscess.
Service central de Radiologie, CHU Ibnou Rochd, Casablanca, Maroc.
A
A
Ousehal
F
F
Essodegui
A
A
Abdelouafi
R
R
Kadiri
D000328:Adult; D001707:Biopsy, Needle; D015299:Discitis / Q000150:complications; D004322:Drainage; D004756:Enterobacteriaceae Infections / Q000150:complications; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000150:complications; D013997:Time Factors; D014376:Tuberculosis / Q000150:complications; D014463:Ultrasonography
Apport de l'échographie dans le diagnostic et le traitement des abcès du psoas. A propos d'une étude portant sur 30 patients.