J Korean Orthop Assoc.  2013 Feb;48(1):33-37. 10.4055/jkoa.2013.48.1.33.

Laparoscopic Treatment for Psoas Abscess

• Hong CH
• Bae SH
• Park JS
• Jung HW
• Jang BW

• KMID: 2106661
• DOI: http://doi.org/10.4055/jkoa.2013.48.1.33

Abstract

Psoas abscess is a rare and high mortality disease if there is no appropriate treatment. The surgical approach of psoas abscess is very difficult because psoas muscle is anatomically located within retroperitoneum. Recently, computed tomography guided percutaneous catheter drainage with proper antibiotic therapy has shown good results. If this therapy fails to resolve the psoas abscess, surgical treatment may be necessary. We experienced two cases of psoas abscess resolved by surgical drainage using laparoscopy. We report two successful results with relevant literatures.

Keyword

psoas abscess; drainage; laparoscopy

MeSH Terms

Catheters
Drainage
Laparoscopy
Psoas Abscess
Psoas Muscles

Figure

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  Figure 1 Abdomen-pelvis computed tomography images show multi-lobulated psoas abscess.

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  Figure 2 Laparoscopic finding shows (A) a psoas abscess with granulation tissue and (B) incision on psoas abscess for laparoscopic drainage.

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  Figure 3 Postoperative computed tomography image shows no psoas abscess resolved by laparoscopic drainage.

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