PYOGENIC PSOAS ABSCESSES - DIAGNOSIS AND TREATMENT

The prognosis of primary-and secondary abscesses of the psoas has impr oved since the introduction of modern imaging techniques. A review of seven cases showed that ultrasonography consistently established the d iagnosis. Percutaneous drainage under ultrasound guidance was performe d in only four cases and surgery in the remaining three cases. There w as no morbidity or mortality. Ultrasonography and computed tomography ensure early identification of psoas abscesses and can obviate the nee d for surgery by allowing percutaneous drainage of the fluid collectio n.