[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.
Ousehal
A
A
Service central de Radiologie, CHU Ibnou Rochd, Casablanca, Maroc.
Essodegui
F
F
Abdelouafi
A
A
Kadiri
R
R
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.