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At least 235 records · Page 13Linked to original sources
PubMed1987

Psoas abscess in Bristol: a 10-year review.

A consecutive series of 16 cases of psoas abscess managed over a 10-year period at the Bristol Royal Infirmary is presented. Tuberculosis accounted for 4 patients all normally resident in the United Kingdom. Intraabdominal inflammatory disorders accounted for 9 of the cases with Crohn's disease being the commonest of these with 5 cases. The remaining patients comprised 3 with primary staphylococcal abscesses, one appendicitis, one diverticulitis and 2 with colonic carcinoma. Diagnostic delay was common. Ultrasonography together with guided aspiration of pus was the most useful investigation giving the diagnosis in cases due to tuberculosis and staphylococci. The presence of gut associated organisms was indicative of gastrointestinal pathology. Four patients died and significant morbidity occurred in a further 5. We recommend effective dependent drainage together with resection of diseased gut in the cases of gastrointestinal origin.

Abscess↗
PubMedDate not supplied

Pyogenic psoas abscesses: noninvasive diagnostic techniques and review of the literature.

Psoas muscle abscesses are a diagnostic and therapeutic challenge. Until recently, surgery was mandated for diagnosis and drainage of these deep posterior lesions. Scanning techniques such as computerized tomography, radionuclide imaging, and ultrasonography now enable noninvasive visualization of abnormalities of the psoas muscle. Patients with abscesses in the greater psoas muscle fall into two distinct groups. Six of 12 patients reviewed had no apparent predisposing conditions. These patients presented with subacute symptoms of fever, pain, and disability. Staphylococcus aureus was the predominant organism isolated. Psoas infections developed in six other patients secondarily to infection or trauma elsewhere in the abdomen. Gram-negative and enteric organisms were the predominant bacteria isolated from this group. Surgical drainage in selected patients and appropriate antimicrobial therapy is necessary for treatment of these infections. Late complications such as osteomyelitis are not unusual.

Abscess↗
PubMed1999

Psoas abscess associated with iliac vein thrombosis and piriformis and gluteal abscesses.

BACKGROUND: A 14-year-old boy was admitted because of lumbago and high fever. METHODS/RESULTS: Computed tomography scans revealed psoas, piriformis and gluteal abscesses as well as right iliac vein thrombus. A right femoral venogram demonstrated compression from the psoas abscess and thrombosis of the common iliac vein. Appropriate surgical drainage, administration of antibiotics and anticoagulant therapy were effective in the present case. CONCLUSIONS: This is the first report of primary psoas abscess associated with vein thrombosis and is also unique in that abscesses were multiple without predisposing diseases or trauma.

Abscess↗
PubMed1990

Psoas abscess as a complication of subclavian venous catheterization.

A 76 year old woman developed a psoas abscess from vascular seeding of an infected subclavian venous catheter. The presentation was insidious and diagnosis delayed. Despite adequate surgical drainage, the case proved to be fatal. Venous catheters should be regarded as a potential source of septicaemia and occult abscess formation.

Abscess↗
PubMed1995

Metastatic cervical carcinoma presenting as psoas abscess and osteoblastic and lytic bony metastases.

A 60-year-old Chinese lady presented with a left flank mass and weight loss. Plain films showed a sclerotic L1 vertebral body, osteopenic L2 and L3 vertebral bodies and loss of left psoas outline. However initially unrevealed history of previous carcinoma of the cervix caused confusion as to the aetiology of a sclerotic vertebral body associated with an left flank collection. Psoas abscess with adjacent bony osteomyelitis was initially suspected. The left flank mass turned out to be an infected necrotic large metastatic lymph node compressing the lower pole of the left kidney. The sclerotic and osteopenic vertebral bodies represented an unusual presentation of bony cervical carcinoma metastases.

Bone Diseases, Metabolic↗
PubMedDate not supplied

Infected abdominal aortic aneurysm associated with a psoas abscess, aorto-duodenal and sigmoid fistulas. Case report and review of the literature.

A case of atherosclerotic abdominal aortic aneurysm, complicated by aortoenteric fistulizations and infected by Escherichia coli, is presented. Chronic contained rupture resulted in the formation of a huge left psoas abscess which was responsible for the symptoms. No similar case has been reported in the literature. Resection and extra-anatomic vascular reconstruction were curative.

Aged↗
PubMed2005

Abdominal aortic mycotic aneurysm, psoas abscess, and aorto-bisiliac graft infection due to Salmonella typhimurium.

Infections due to nontyphoidal Salmonella are common and their incidence has been increasing in the last few years. Here, we describe a patient with a rupture of abdominal aortic aneurysm associated with a psoas abscess due to Salmonella typhimurium. Early diagnosis, prompt surgical intervention, and active and prolonged antibiotic therapy are the gold standard for the management of this severe clinical situation.

Aneurysm, Infected↗
PubMed1993

Psoas abscess following intravesical bacillus Calmette-Guerin for bladder cancer: a case report.

An 87-year-old man with an abdominal aortic aneurysm received intravesical bacillus Calmette-Guerin therapy for transitional cell carcinoma of the bladder. He presented 9 months later with a psoas abscess that mimicked a contained retroperitoneal abdominal aortic aneurysm rupture. The abscess cultures yielded Mycobacterium bovis. Recent transurethral resection and high voiding pressures after instillations of bacillus Calmette-Guerin may have led to distant dissemination of the drug.

Administration, Intravesical↗
PubMed1989

Pneumococcal meningitis due to psoas abscess.

We have described a patient who had meningitis from local extension of a primary pneumococcal abscess of the psoas muscle. With open surgical drainage and high-dose penicillin therapy, the patient did well and was discharged without neurologic sequelae.

Abscess↗
PubMed1985

Pneumococcal psoas abscess.

Primary extrapulmonary pneumococcal disease has become a rarity in modern times. We describe a 40-year-old patient who developed an abscess of the psoas muscle as the only evidence of pneumococcal disease. A predisposing local condition was prior trauma of the psoas muscle, documented by the existence of myositis ossificans circumscripta. This case emphasizes the importance of considering unusual sites of involvement of pneumococcal disease.

Abscess↗
PubMedDate not supplied

[Psoas abscess in children. Report of 6 cases].

Six children with abscess of the psoas muscle are presented. Previous trauma pain, claudication and antalgic position of a lower limb, fever, abdominal tenderness and leukocytosis were prominet features. Four patients improved and two died. Treatment included surgical drainage and antibiotics. Differential diagnosis and possible pathogenesis are discussed.

Abscess↗
PubMed1998

Psoas abscess following extracorporeal shock wave lithotripsy.

Different studies have reported renal effects like swelling of parenchyma, subcapsular and intracapsular haematoma and perinephric fluid collections. These effects were usually transient and by 2-3 months returned to normal. We report an early complication of extracorporeal shock wave lithotripsy (ESWL). A patient with solitary renal calculus who had ESWL developed psoas spasm and became unwell with elevation of white cell count and erythrocyte sedimentation rate. Psoas abscess extending from renal hilum to the groin was diagnosed and drained surgically.

Adult↗
PubMed1999

[Endocarditis manifesting as a spondylodiscitis and psoas abscess].

The revealing of a bacterial endocarditis by a spondylodiscitis is relatively rare. Only 80 cases have been reported ever since De Sèze's and his team's first publication in 1965. We report the case of a 59 year old women, hospitalized for a meningitis who presents signs of a spondylodiscitis and psoas abscess revealing an endocarditis. This case shows that one always have to search for an endocarditis when dealing with a spondylodiscitis. A thorough examination including a cardiac ultrasound is mandatory and a six weeks follow-up is necessary, since the prognosis depend mainly on the valvular disease.

Discitis↗
PubMed1992

Mycobacterium bovis vertebral osteomyelitis and psoas abscess after intravesical BCG therapy for bladder carcinoma.

Systemic complications of intravesicular BCG for bladder carcinoma are uncommon, and include fever, pneumonia, hepatitis, arthralgias, or skin rash. Local complications of BCG therapy for bladder cancer include cystitis, prostatitis, epididymo-orchitis, granulomatous lymphadenitis, or ureteral obstruction. We believe this is the first case of Mycobacterium bovis vertebral osteomyelitis and psoas abscess complicating intravesicular BCG therapy for bladder carcinoma.

Administration, Intravesical↗