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Psoas (or iliopsoas) abscess is a collection of pus in the iliopsoas muscle compartment [1]. It may arise via contiguous spread from adjacent. Introducción y objetivos. Aportar a la literatura un nuevo caso de absceso primario de Psoas, con afectación también del Cuadrado Lumbar. Absceso del psoas como causa de dolor lumbar detectado mediante gammagrafía con galio en un paciente con sospecha de espondilodiscitisPsoas abscess.

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Along with the upper iliac muscle, the psoas is responsible for the flexion of the thigh; inferiorly, all by itself, it makes the lateral rotation of the vertebral column, and with the iliac muscles it makes the flexion of the trunk. Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail. Las causas del absceso fueron: Presentation, microbiology, and treatment. Show more Show less.

[Psoas abscess as a differential diagnosis in emergency department].

Diseases of the gastrointestinal tract appendicitis, diverticulitis, carcinoma, inflammatory bowel disease, etc. Five cases were reported for 6 years: The chest exam revealed clear lungs with normal heart sounds and her abdomen was soft with normal bowel sounds. Open surgical drainage should be reserved if percutaneous drainage fails. Clinical presentation Pathology Radiographic features Treatment and prognosis Differential diagnosis References Images: Two patients were admitted to the Intensive Care Unit and ultimately died.

Psoas abscess; Psoas muscles; Low back pain. Conclusions Secondary pyogenic abscesses constitute the most frequent PA group. About Blog Go ad-free. Past medical history was positive for chronic peripheral vascular disease, valvular cardiopathy, atrial fibrillation, and implantation of a biological mitral valve 11 years before admission.


Antibiotics are sometimes continued up to two weeks after complete drainage of the abscess. This item has received.

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The duration of antibiotic therapy must be individualized, guided by clinical signs, involvement of other structures abscdso laboratory result. The origin of the psoas muscle is retroperitoneal, at the anterior surface of the transverse process, on the lateral edge of the vertebral bodies from T 12 to L 5.

The onset is usually subacute, and symptoms are generally present for a few weeks. The objective of this report was to discuss the diagnosis and treatment of psoas muscle abscess.

Other pathogens include Serratia marcescensPseudomonas aeruginosaHaemophilus aphrophilusand Proteus mirabilis. Each patient had computed tomography performed, which confirmed the diagnosis. As a gastrointestinal infectious focus was suspected a diagnostic laparoscopy was decided, but there were no findings at surgery. Twenty days after the continuous epidural administration, the patient complained of lumbar pain, headache, and fever.

Information was collected from patients diagnosed with psoas abscess who were admitted to the General Surgery department from to Even microscopic muscle trauma may be the origin of the infection. Pasteurella multocida is Gram negative cocobacilus, facultatively anaerobic and has been isolated from the digestive system or respiratory tract of a variety of animals, especially domestic cats psoaz dogs.

It is defined as a collection of pus that begins and extends through the iliopsoas muscle and can reach up to the inguinal region. Case 1 Case 1. Physical exam revealed the patient to be anxious, febrile, tachycardic, tachypneic, with edema and hyperemia of the lower limbs.

Absceso del psoas: revisión de la literatura y estado actual

Psoas muscle abscess is a rare abseso complication of epidural analgesia. The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice.


Case report An year-old female was admitted to hospital with seven-day history of right inguinal pain.

She was diagnosed with cellulites in the lower limbs and treated with intravenous gatifloxacin mg. Subscriber If you already have your login data, please click here. All the contents of this journal, except where otherwise noted, is licensed under osoas Creative Commons Attribution License. Laboratory tests may reveal raised white cell count, anemia, and elevated erythrocyte sedimentation rate.

Leukocytosis, anemia, raised ESR and right laterality suggest pyogenic etiology. The real incidence is unknown but it seems to be increasing because of the raising use of imaging techniques.


Twenty days after the procedure, close to the discontinuation of the epidural treatment, the patient presented with lumbar pain, headache, and high fever. Psoas abscess is a pus ansceso within the muscle compartment. Read it at Google Books – Find it at Amazon.

Postgrad Med J, ; Only another case has been reported before in the literature. We report an iliopsoas abscess due to this unusual microorganism that illustrates the difficulties in diagnosis lsoas management. Laboratory studies showed leukocytosis with neutrophilia and D-dimer elevation.

Secondary pyogenic abscesses constitute the most frequent PA group. Multiple inguinal necrotic lymph nodes and groin abscess. The correct diagnosis is fundamental for a good evolution. Detailed physical examination also demonstrated this little scratch, which probably was the primary source of infection.