title: [Cases of pyogenic iliopsoas abscesses in military men].
abstract: Four cases of pyogenic inflammation of the iliolumbar muscle were analyzed and 3 clinical cases of this disease in military men are described. A rare case of abscess of the iliolumbar muscle complicated by secondary appendicitis is also described. A hematogenic way of infection against the background of microtraumas and hematomas with m. Iliopsoas was the main one in the patients observed that was due to specificities of military service: permanent physical activity, pustular diseases of the lower extremities. The main clinical symptom of the disease is the symptom of the iliolumbar muscle. Ultrasonic scanning is the most informative method of diagnosis among additional methods. Operative treatment of the piogenic iliopsoas abscess is the only method of treatment, the open operative interventions by the retroperitoneal access being preferred. Antibacterial therapy in the postoperative period is based on the results of inoculation of the purulent discharge from the wound. Broad spectrum antibiotics must be used due to possible anaerobic character of the purulent inflammation.
authors.forename: A A
authors.initials: AA
authors.lastname: Solov'ev
authors.forename: V V
authors.initials: VV
authors.lastname: Petrushin
authors.forename: V P
authors.initials: VP
authors.lastname: Gaĭduk
authors.forename: I V
authors.initials: IV
authors.lastname: Zotov
authors.forename: V A
authors.initials: VA
authors.lastname: Pchelkin
authors.forename: V F
authors.initials: VF
authors.lastname: Siniakov
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D013396:Suction; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents