Retroperitoneoscopic drainage of a psoas abscess.
Pyogenic psoas abscess in the pediatric age group is a primary condition caused mostly by Staphylococcus aureus. The preferred treatment is percutaneous or surgical drainage under a cover of systemic antibiotics. Laparoscopic drainage scores over open surgery in terms of minimal invasion, shorter hospital stay, better patient comfort, and more complete drainage compared with the percutaneous approach. The authors report a case of a 4-year-old boy with a psoas abscess that was effectively drained laparoscopically through an extraperitoneal approach.
Katara
Avinash N
AN
Department of Minimal Access Surgery, P.D. National Hinduja Hospital & Medical Research Centre and St Elizabeth Hospital, Mumbai, India.
Shah
Rasik S
RS
Bhandarkar
Deepraj S
DS
Unadkat
Rajan J
RJ
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D016659:Psoas Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone