Place of Percutaneous Drainage in Secondary Psoas Abscesses

Abstract

Introduction: We report a series of fifteen cases of secondary psoas abscess, while lifting diagnostic and therapeutic challenges posed by the disease causal. Materials and Methods: Monocentric retrospective study over five years from January 2003 to December 2007. Studies made on clinical records, operating Records, radiology and bacteriology. Results: 15 cases aged 14 to 72 years with an average of 31.4 years with a slight male: 6 to 9 men women and a sex ratio of 1.5. The diagnosis was made by the tandem ultrasound scanner and six cases were due to Crohn's disease, three after appendicitis, two on tuberculosis spondylodiscis, and two on tumors of the colon, one in diverticulitis and post traumatic. Germs are found most gram-negative bacilli of gastrointestinal origin. In addition to antibiotics, eight were made in emblematic of more than three cases per skin after drainage. While in four cases percutaneous drainage was effective. Conclusion: The secondary psoas abscess is rare. Due to a few specific symptoms diagnosis can be delayed and hide the disorder that we must always find and treat, thereby altering care: Surgery combined with antibiotic therapy is the most effective treatment. Drainage percutaneous and antibiotic keeps their place in the treatment of secondary psoas abscess; At least it allows better conditions in the surgical treatment in a second time.