PRIMARY PSOAS ABSCESS - DIAGNOSTIC AND THERAPEUTIC CONSIDERATIONS

Citation
A. Thomas et al., PRIMARY PSOAS ABSCESS - DIAGNOSTIC AND THERAPEUTIC CONSIDERATIONS, British Journal of Urology, 78(3), 1996, pp. 358-360
Citations number
11
Categorie Soggetti
Urology & Nephrology
Journal title
ISSN journal
00071331
Volume
78
Issue
3
Year of publication
1996
Pages
358 - 360
Database
ISI
SICI code
0007-1331(1996)78:3<358:PPA-DA>2.0.ZU;2-O
Abstract
Objective To present our experience of the diagnosis and treatment of primary psoas abscess in India. Patients and methods Between July 1993 and December 1995, five men (aged 24-67 years) presented with suspect ed primary psoas abscess. All five patients had fever with or without rigors and upper/lower abdominal pain of varying duration (2-6 weeks). Results The presentation in all patients was conspicuous by the absen ce of the classical signs of limping and positive psoas symptoms, Comp uted tomography (CT) was the best method of diagnosis, being accurate in every case, Antibiotics alone (two patients), or in combination wit h percutaneous aspiration, were curative, Conclusions This small serie s of five patients of primary psoas abscess was remarkable in that all the patients were men and three were elderly. The classical symptom o f limping was absent in all. The urologist can be misled by loin pain and irritative lower urinary symptoms in the patients, resulting in a delay in diagnosis and management.