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Effectiveness of Fluoroscopic and US - Guided Percutaneous Catheter Drainage for Iliopsoas Abscess through the Anterolateral Transabdominal Approach  

Choi, Ho-Cheol (Department of Radiology, Gyeongsang National University, College of Medicine)
Shin, Tae-Beom (Department of Radiology, Gyeongsang National University, College of Medicine)
Park, Mee-Jung (Department of Radiology, Gyeongsang National University, College of Medicine)
Kim, Ji-Eun (Department of Radiology, Gyeongsang National University, College of Medicine)
Choi, Hye-Young (Department of Radiology, Gyeongsang National University, College of Medicine)
Bae, Kyung-Soo (Department of Radiology, Gyeongsang National University, College of Medicine)
Choi, Dae-Seob (Department of Radiology, Gyeongsang National University, College of Medicine)
Na, Jae-Boem (Department of Radiology, Gyeongsang National University, College of Medicine)
Jeong, Seong-Hoon (Department of Radiology, Gyeongsang National University, College of Medicine)
Publication Information
Journal of the Korean Society of Radiology / v.64, no.2, 2011 , pp. 139-146 More about this Journal
Abstract
Purpose: We evaluated the effectiveness of performing fluoroscopic and ultrasonography guided percutaneous catheter drainage (PCD) through the anterolateral transabdominal approach for treating iliopsoas abscess. Materials and Methods: From January 2008 to December 2009, fluoroscopic and US-guided PCD through the anterolateral transabdominal approach was performed on sixteen iliopsoas abscesses of fourteen patients (7 males and 7 females; mean age: 63 years; age range: 30-87 years). Six abscesses were on the right side and ten abscesses were on the left side. The location of the abscesses were the psoas muscle (n=7), the iliacus muscle (n=7) and the iliopsoas muscle (n=2). All the procedures were performed under fluoroscopy and US guidance in the angiography room. The clinical findings before and after the procedure, the duration of catheter insertion and the procedure-related complications were evaluated. Results: 15 out of the 16 iliopsoas abscesses were effectively treated. The duration of catheter insertion was 5- 27 days (mean: 14.6) days. No patient had significant complications during or after drainage. One patient died of uncontrolled diabetes complications and shock on the 9th day after percutaneous catheter drainage. One recurrence was noted 5 months after removal of the catheter. This patient underwent aspiration and antibiotic treatment for this lesion and the patient improved. Conclusion: Fluoroscopic and US-guided PCD for iliopsoas abscess through the anterolateral transabdominal approach is an effective and safe procedure.
Keywords
Psoas Abscess; Drainage, Postural; Ultrasonography guidance;
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