Percutaneous catheter drainage of tuberculous psoas abscesses.
Six patients with 7 tuberculous psoas or ilio-psoas abscesses were treated by CT-guided catheter drainage and chemotherapy. The abscesses (5 unilateral and 1 bilateral) were completely drained using a posterior or lateral approach. The abscess volume was 70 to 700 ml (mean 300 ml) and the duration of drainage 5 to 11 days (mean 7 days). Immediate local symptomatic improvement was achieved in all patients, and there were no procedural complications. CT follow-up at 3 to 9 months showed normalization in 5 patients, 2 of whom are still on medical therapy. One patient, who did not take the medication regularly, had a recurrent abscess requiring new catheter drainage after which the fluid collection disappeared. Percutaneous drainage represents an efficient and attractive alternative to surgical drainage as a supplement to medical therapy in the management of patients with large tuberculous psoas abscesses.
Pombo
F
F
Department of Radiology, Hospital Juan Canalejo, La Coruña, Spain.
Martín-Egaña
R
R
Cela
A
A
Díaz
J L
JL
Linares-Mondéjar
P
P
Freire
M
M
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002404:Catheterization; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000000981:diagnostic imaging / Q000628:therapy*
D000995:Antitubercular Agents