Percutaneous drainage of iliopsoas abscess: an effective option in cases not suitable for surgery

• Autor(a) principal: Martins,Diego Lima Nava
• Data de Publicação: 2018
• Outros Autores: Cavalcante Junior,Francisco de Assis, Falsarella,Priscila Mina, Rahal Junior,Antonio, Garcia,Rodrigo Gobbo
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Einstein (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300501
• topic: Psoas abscess/diagnostic imaging; Drainage; Ultrasonography; Tomography, x-ray computed; Minimally invasive procedures

ABSTRACT The aim of this study were to describe the technique of percutaneous drainage of iliopsoas abscess, and to discuss the benefits of using this minimally-invasive tool. A single center study with retrospective analysis of patients with psoas abscess confirmed by imaging scans, sent to the interventional medicine center and submitted to computed tomography and ultrasound-guided percutaneous drainage, from November 2013 to August 2016. Seven patients underwent percutaneous drainage of psoas abscess in this period. The mean initial drained volume was 61.4±50.7mL (ranging from 10 to 130mL), and the mean drainage duration was 8.3±2.8 days (ranging from 4 to 12 days). The success rate of the percutaneous procedures was 71.5%, and two patients required re-intervention. Image-guided percutaneous drainage of iliopsoas abscess is a minimally invasive, efficient and safe procedure, and an extremely valuable technique, especially for patients who are not suitable for surgical repair.