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Review
. 2000 Jun;10(3):418-23.

[Treatment of psoas abscess: percutaneous drainage or open surgery]

[Article in French]
C Conde Redondo  1 , J Estebanez Zarranz, A Rodrigues Toves, J Amon Sesmero, F Simal, J M Martinez Sagarra
Affiliations
  • PMID: 10951935
Review

[Treatment of psoas abscess: percutaneous drainage or open surgery]

[Article in French]
C Conde Redondo et al. Prog Urol. 2000 Jun.

Abstract

Objective: Psoas abscess is currently an uncommon disease and is often difficult to diagnose because of its minor initial symptoms. We compare treatment by percutaneous drainage and surgery.

Material and methods: Five patients, all immunodepressed, which appears to be an important factor in the aetiology and pathogenesis of psoas abscess. Computed tomography appears to be the best diagnostic method.

Results: Three subjects underwent open surgery and developed serious complications in contrast with two patients treated by CT-guided percutaneous drainage, preceded by antibiotics.

Conclusion: First-line percutaneous drainage appears to be the best approach at the present time, reserving open surgery for very large abscesses.

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