Computed Tomography-guided Percutaneous Catheter Drainage of Primary and Secondary Iliopsoas Abscesses

Cantasdemir, Murat; Kara, Batuhan; Cebi, Deniz; Selçuk, Nazmiye; Numan, Fürüzan

doi:10.1016/s0009-9260(03)00274-5

Cited by 86 publications

(83 citation statements)

References 7 publications

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“…Therapeutic failure after percutaneous drainage is rare, as described by Castademir et al, who revealed that this method was efficacious in 21 of 22 patients; nonetheless, when it happens, surgical treatment is indicated 12 . The right IPA was of little volume, and we opted to treat it with antibiotics only, a plausible treatment for small abscesses.…”

Section: Bilateral Paracoccidioidomycotic Iliopsoas Abscess Associatementioning

confidence: 99%

Bilateral paracoccidioidomycotic iliopsoas abscess associated with ileo-colonic lesion

Duani

Nunes

Assumpção

et al. 2012

Rev. Soc. Bras. Med. Trop.

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FIGURE 1 -Colonoscopy revealing the cecum and the ileocecal valve, a large ulcer, and an ulcer with fibrin (arrows). Revista da Sociedade Brasileira de Medicina Tropical 45(5):649-651, Sep-Oct, 2012Case Report ABSTRACT This case report shows the clinical development of a patient with systemic paracoccidioidomycosis presenting with lymphatic-intestinal manifestation. The patient initially had a substantial clinical improvement but had a recrudescence after six months of sulfamethoxazoletrimethoprim oral treatment, with the emergence of feverish syndrome, lumbar pain, and intermittent claudication, characterizing a bilateral iliopsoas muscle abscess, necessitating clinicosurgical therapeutics.Keywords: Paracoccidioidomycosis. Psoas abscess. Paracoccidioides brasiliensis.fungal smear; normal renal and hepatic function panels; and negative microbiological stool tests. An abdominal and pelvic computed tomography (CT) demonstrated mesenteric lymphadenomegaly, with a hypodense center. Colonoscopy evidenced multiple deep ulcers with changeable sizes and forms along the whole colon, intercalated by normal mucosa, and a deformed ileocecal valve, which favored the diagnosis of infectious ulcerative pancolitis (Figure 1). Anatomopathological examination of the colonic mucosa revealed some areas of erosion covered in fibrino-leukocytic exudate, inflammatory infiltrate in corion, with some multinucleated giant cells, and lots of round shaped yeast, in various sizes, compatible with ileum-colonic PCM (Figure 2). A biopsy of a cervical lymph node also was performed, and in the anatomopathological examination, we found the Paracoccidioides brasiliensis, with non-caseating granulomas containing multinucleated giant cells and epithelioid histiocytes, presenting a steering wheel shape, compatible with PCM granulomatous lymphadenitis. During hospitalization, the patient was treated with venous sulfamethoxazole-trimethoprim (SMX-TMP) and amphotericin B (amphoB) deoxycholate, receiving a cumulative dose of 1,900mg after www.scielo.br/rsbmt 650 Duani H et al -Bilateral paracoccidioidomycotic iliopsoas abscess DISCUSSION 38 days. A complete regression of lymphadenopathy occurred, the patient gained weight, and the diarrhea ceased. After 40 days from admission, he was discharged, with a prescription of a daily use of SMX-TMP 800 + 160mg.The patient returned 40 days later, presenting recrudescence of the initial symptoms, including pain in the left hip, limited extension of the homolateral hip, limping, and fever. Furthermore, cultures were obtained, and an anatomopathological examination of an inguinal lymph node biopsied revealed Paracoccidioides brasiliensis. He was rehospitalized and treated with amphoB plus oral itraconazole and sulphadiazine.Abdominal and pelvic CT showed mesenteric lymphadenomegaly, enlargement of the left iliac and psoas muscles, with inner voluminous liquefaction, which extended from the level of the third lumbar vertebra (L3) to the pelvis. Moreover, a smaller collection was observed in the right psoas muscle at...

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Section: Bilateral Paracoccidioidomycotic Iliopsoas Abscess Associatementioning

confidence: 99%

Bilateral paracoccidioidomycotic iliopsoas abscess associated with ileo-colonic lesion

Duani

Nunes

Assumpção

et al. 2012

Rev. Soc. Bras. Med. Trop.

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“…CT-guided percutaneous drainage is a usually performed treatment option in iliopsoas abscess. Surgery should be considered for the failure of percutaneous catheter drainage, the presence of contraindications to percutaneous drainage and some cases of secondary abscess [5].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Appendicitis With Iliopsoas Abscess by Laparoscopic One-Step Surgery

Choi

Lee

2017

J Curr Surg

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Acute appendicitis is the most common cause of acute abdomen and on rare occasions can present atypically with a retroperitoneal abscess. In this report, we present a rare case of acute appendicitis combined with iliopsoas muscle abscess. A laparoscopic appendectomy and iliopsoas abscess drainage were performed by a one-step laparoscopic procedure that did not incur any intraoperative or postoperative complications. The results of this case demonstrate that the laparoscopic approach is feasible and effective for the treatment of appendicitis complicated by retroperitoneal abscess.

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“…Percutaneous drainage was first described in 1984, 6 and case series have reported a success rate of 70% to 90%. 8,9 The limitation of percutaneous drainage is incomplete drainage of the abscess cavity, especially in a multiloculated abscess. Therefore, percutaneous drainage guidance has been suggested as the first-line treatment, with open surgery being reserved for complex, multiloculated abscesses or after failure of the percutaneous technique.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Drainage of Iliopsoas Abscess

Rizvi¹,

McManus²,

Foo³

et al. 2015

CRSLS

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Introduction: Iliopsoas abscess is a rare condition that carries a risk of mortality when not treated appropriately. There is a paucity of high-level evidence concerning the management of this abscess and very sparse data is available in the literature regarding treatment options. This article discusses the treatments for iliopsoas abscess and reports a case effectively drained laparoscopically through an extraperitoneal approach.

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Computed Tomography-guided Percutaneous Catheter Drainage of Primary and Secondary Iliopsoas Abscesses

Cited by 86 publications

References 7 publications

Bilateral paracoccidioidomycotic iliopsoas abscess associated with ileo-colonic lesion

Bilateral paracoccidioidomycotic iliopsoas abscess associated with ileo-colonic lesion

Treatment of Appendicitis With Iliopsoas Abscess by Laparoscopic One-Step Surgery

Laparoscopic Drainage of Iliopsoas Abscess

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