Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach

Pott's disease may accompany psoas abscesses, but bilateral psoas abscess is rarely encountered. Computerised Tomography (CT) is the gold standard for the diagnosis of psoas abscesses. Treatment of psoas abscess usually involves drainage of abscess and antibiotic therapy. CT and USG-guided cat...

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Main Authors: Fatih Durgut, Ali Gulec, Ebubekir Eravsar, Egemen Odabasi
Format: Article
Language:English
Published: Pakistan Medical Association 2022-11-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3370
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author Fatih Durgut
Ali Gulec
Ebubekir Eravsar
Egemen Odabasi
author_facet Fatih Durgut
Ali Gulec
Ebubekir Eravsar
Egemen Odabasi
author_sort Fatih Durgut
collection DOAJ
description Pott's disease may accompany psoas abscesses, but bilateral psoas abscess is rarely encountered. Computerised Tomography (CT) is the gold standard for the diagnosis of psoas abscesses. Treatment of psoas abscess usually involves drainage of abscess and antibiotic therapy. CT and USG-guided catheters are often utilised for abscess drainage. In cases where neurological symptoms are observed, open surgery may be required. Pott’s disease accompanied by bilateral psoas abscess was detected in a 21-year-old male patient who was admitted to the clinic with complaints of low back pain and weakness in his left leg at the Selcuk University, Turkey, in 2018. The reason for the development of neurological deficit only on the left side was the compression of the nerve roots by the abscess tissue. The patient underwent debridement and anterior instrumentation with an anterior approach. In the postoperative follow-up it was observed that the patient's complaints were relieved. ---Continue
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spelling doaj.art-c72ecde1713d4621a120772fbd5b2a8f2023-05-25T04:21:28ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-11-01721210.47391/JPMA.3370Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approachFatih Durgut0Ali Gulec1Ebubekir Eravsar2Egemen Odabasi3Department of Orthopaedics and Traumatology, Dicle University, Diyarbakir, Turkey Department of Orthopaedics and Traumatology, Selcuk University, Konya, TurkeyDepartment of Orthopaedics and Traumatology, Selcuk University, Konya, TurkeyDepartment of Orthopaedics and Traumatology, Selcuk University, Konya, Turkey Pott's disease may accompany psoas abscesses, but bilateral psoas abscess is rarely encountered. Computerised Tomography (CT) is the gold standard for the diagnosis of psoas abscesses. Treatment of psoas abscess usually involves drainage of abscess and antibiotic therapy. CT and USG-guided catheters are often utilised for abscess drainage. In cases where neurological symptoms are observed, open surgery may be required. Pott’s disease accompanied by bilateral psoas abscess was detected in a 21-year-old male patient who was admitted to the clinic with complaints of low back pain and weakness in his left leg at the Selcuk University, Turkey, in 2018. The reason for the development of neurological deficit only on the left side was the compression of the nerve roots by the abscess tissue. The patient underwent debridement and anterior instrumentation with an anterior approach. In the postoperative follow-up it was observed that the patient's complaints were relieved. ---Continue https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3370
spellingShingle Fatih Durgut
Ali Gulec
Ebubekir Eravsar
Egemen Odabasi
Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
Journal of the Pakistan Medical Association
title Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
title_full Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
title_fullStr Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
title_full_unstemmed Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
title_short Pott’s disease associated with bilateral psoas abscess: a case report on surgical management using anterior approach
title_sort pott s disease associated with bilateral psoas abscess a case report on surgical management using anterior approach
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3370
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AT ebubekireravsar pottsdiseaseassociatedwithbilateralpsoasabscessacasereportonsurgicalmanagementusinganteriorapproach
AT egemenodabasi pottsdiseaseassociatedwithbilateralpsoasabscessacasereportonsurgicalmanagementusinganteriorapproach