Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report

Iliopsoas abscess is a rare medical infection disease. Clinical finding was fluid or/with pus accumulated inside the iliopsoas muscle compartment. Most cases of iliopsoas abscess were unilateral site. Bilateral iliopsoas abscesses were rare and also difficult to treat clinically. Antibiotics alone o...

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Main Authors: Ta-Chih Yu, Tai-Hsin Tsai, Yu-Feng Su, Yu-lin Chou, Huey-Jiun Ko, Cheng-Yu Tsai
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751920303595
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author Ta-Chih Yu
Tai-Hsin Tsai
Yu-Feng Su
Yu-lin Chou
Huey-Jiun Ko
Cheng-Yu Tsai
author_facet Ta-Chih Yu
Tai-Hsin Tsai
Yu-Feng Su
Yu-lin Chou
Huey-Jiun Ko
Cheng-Yu Tsai
author_sort Ta-Chih Yu
collection DOAJ
description Iliopsoas abscess is a rare medical infection disease. Clinical finding was fluid or/with pus accumulated inside the iliopsoas muscle compartment. Most cases of iliopsoas abscess were unilateral site. Bilateral iliopsoas abscesses were rare and also difficult to treat clinically. Antibiotics alone or /with traditional percutaneous image-guided drainage such as Ultrasound-guided or Computerized Tomography-guided is a standard treatment. We describe a 41-year-old patient with bilateral iliopsoas abscess who presented to the Emergency Department with both lower legs pain. Computed tomography and Magnetic Resonance Imaging revealed the presence of bilateral low-density masses in bilateral iliopsoas muscle area indicative of bilateral iliopsoas abscesses. Antibiotics had been applied and Ultrasound-guided or Computerized Tomography-guided percutaneous drainage was recommended. Due to poor clinical assessment of traditional percutaneous image-guided drainage, we performed minimal open surgical drainage with Navigation-guided system. Iliopsoas abscess can be treated successfully with antibiotics alone or/with percutaneous image-guided drainage. Minimally open for surgical drainage with Navigation-guided system could be an effective and safe alternative optional method. To our knowledge, this is the first report of bilateral iliopsoas abscess with definitive drainage under minimally open for surgical drainage via Navigation-guided system.
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spelling doaj.art-c7e21c0f2a1944a1af0a916263bd47f52022-12-22T00:15:10ZengElsevierInterdisciplinary Neurosurgery2214-75192020-12-0122100798Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case reportTa-Chih Yu0Tai-Hsin Tsai1Yu-Feng Su2Yu-lin Chou3Huey-Jiun Ko4Cheng-Yu Tsai5Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Neurosurgery, Department of Surgery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung City 801, TaiwanDivision of Spine Surgery, Chi Hsien Spine Hospital, Kaohsiung, TaiwanGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Ph.D. Program in Environmental and Occupational Medicine, College of Medicine, Kaohsiung Medical University and National Health Research Institutes, Taiwan; Corresponding author at: Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.Iliopsoas abscess is a rare medical infection disease. Clinical finding was fluid or/with pus accumulated inside the iliopsoas muscle compartment. Most cases of iliopsoas abscess were unilateral site. Bilateral iliopsoas abscesses were rare and also difficult to treat clinically. Antibiotics alone or /with traditional percutaneous image-guided drainage such as Ultrasound-guided or Computerized Tomography-guided is a standard treatment. We describe a 41-year-old patient with bilateral iliopsoas abscess who presented to the Emergency Department with both lower legs pain. Computed tomography and Magnetic Resonance Imaging revealed the presence of bilateral low-density masses in bilateral iliopsoas muscle area indicative of bilateral iliopsoas abscesses. Antibiotics had been applied and Ultrasound-guided or Computerized Tomography-guided percutaneous drainage was recommended. Due to poor clinical assessment of traditional percutaneous image-guided drainage, we performed minimal open surgical drainage with Navigation-guided system. Iliopsoas abscess can be treated successfully with antibiotics alone or/with percutaneous image-guided drainage. Minimally open for surgical drainage with Navigation-guided system could be an effective and safe alternative optional method. To our knowledge, this is the first report of bilateral iliopsoas abscess with definitive drainage under minimally open for surgical drainage via Navigation-guided system.http://www.sciencedirect.com/science/article/pii/S2214751920303595Case reportIliopsoas abscessNavigation-guided system
spellingShingle Ta-Chih Yu
Tai-Hsin Tsai
Yu-Feng Su
Yu-lin Chou
Huey-Jiun Ko
Cheng-Yu Tsai
Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
Interdisciplinary Neurosurgery
Case report
Iliopsoas abscess
Navigation-guided system
title Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
title_full Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
title_fullStr Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
title_full_unstemmed Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
title_short Minimally open for surgical drainage of bilateral iliopsoas abscesses with Navigation-guided system: A case report
title_sort minimally open for surgical drainage of bilateral iliopsoas abscesses with navigation guided system a case report
topic Case report
Iliopsoas abscess
Navigation-guided system
url http://www.sciencedirect.com/science/article/pii/S2214751920303595
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