Percutaneous catheter drainage of tuberculous and nontuberculous psoas abscesses |
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| Affiliation: | 1. Department of Radiology, KTU Farabi Hospital, Trabzon 61080, Turkey;2. Department of Orthopaedic Surgery, KTU Farabi Hospital, Trabzon 61080, Turkey;3. Department of Urology, KTU Farabi Hospital, Trabzon 61080, Turkey;1. GATHERS Group, Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, c/. Mariano Esquillor s/n, 50018 Zaragoza, Spain;2. Chemistry in Pharmaceutical Science Department, Pharmacy Faculty, Complutense University of Madrid, Plaza Ramón y Cajal s/n, Madrid 28040, Spain;3. Universidad San Jorge, Campus Universitario Villanueva de Gállego, Autovía A-23 Zaragoza-Huesca km 299, 50830 Villanueva de Gállego (Zaragoza), Spain;1. Universidade Federal de Ouro Preto, Ouro Preto, MG, Brazil;2. Departamento de Física, Instituto de Geociências e Ciências Exatas, Universidade Estadual Paulista, 13500-970 Rio Claro, SP, Brazil;3. Universidade Federal de Alfenas, 37130-000 Alfenas, MG, Brazil;4. Instituto de Física da Universidade de São Paulo, São Paulo, SP, Brazil;5. Centro de Desenvolvimento de Tecnologia Nuclear/CNEN, Belo Horizonte, MG, Brazil;1. Graduate School of Information Science and Technology, Osaka University, 1-5 Yamadaoka, Suita, Osaka 565-0871, Japan;2. Graduate School of Frontier Biosciences, Osaka University, 1-5 Yamadaoka, Suita, Osaka 565-0871, Japan;3. ERATO, Japan Science and Technology Agency, 1-5 Yamadaoka, Suita, Osaka 565-0871, Japan;4. Earth-Life Science Institute, Tokyo Institute of Technology, Meguro, Tokyo 152-8550, Japan |
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| Abstract: | Objective: To assess the utility of percutaneous catheter drainage in the management of tuberculous and nontuberculous psoas abscesses associated without any bony involvement or with minimal bony lesions that could not cause vertebral instability. Materials and method: Eleven patients with psoas, iliopsoas and pelvic abscesses were drained under computed tomography and ultrasono-graphy guidance. Results: There were 15 (10 tuberculous, 5 pyogenic) abscesses in 11 patients. Six of the tuberculous abscesses and one of the pyogenic abscess were associated with vertebral involvement. Vertebral lesions were located in one or two vertebrae without causing any serious disturbance in the vertebral stabilization. In one case, the abscess was bilateral. Nine cases were drained under computed tomography guidance, while two cases were drained under both computed tomography and ultrasonography guidance. One session drainage was sufficient for abscess resolution in uniloculated cases. In the two of four multiloculated cases, catheter drainage was performed twice. Relapse of the abscess was found in only one patient. The mean abscess volume was 520 ml and mean drainage duration was 12 days. None of the cases required surgery. Conclusion: Percutaneous drainage, chemotherapy and additional external brace application with the cases associated with bony lesion may be used for treatment of tuberculous and nontuberculous unilocule and multiloculated abscesses. |
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