Abstract | PURPOSE: MATERIALS AND METHODS: Computed tomography (CT)-guided PD was performed in 21 patients with 26 tuberculous iliopsoas abscesses. Nineteen patients had bone involvement of two or more vertebrae. Eleven patients with spondylodiskitis had intradiskal abscesses. Five patients had bilateral psoas abscesses. Easily and safely accessible well-circumscribed abscesses larger than 3 cm were selected for PD. Catheters were inserted into the abscess cavities with Seldinger technique in all cases. In conjunction with PD, all patients had antituberculous drug therapy and underwent clinical and imaging follow-up for at least 1 year. RESULTS: Percutaneous catheter placement was successful in all cases without procedural complications. On the basis of CT findings, complete evacuation of all abscesses was achieved initially. During follow-up, six (29%) of 21 patients had recurrences within 1 and 3 months after catheter removal. A total of 37 catheters were used; eight of the 37 catheters were inserted due to recurrences. Four patients needed two PD procedures, and two patients needed three due to recurrences. Four catheters were changed because of obstruction or dislocation. Drainage duration ranged from 5 to 36 days (mean, 14.9 days). The follow-up period was 12-52 months (mean, 24 months). None of the patients, including those with recurrence, required surgical drainage and débridement due to insufficient PD. CONCLUSION:
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Authors | Hasan Dinç, Ali Ahmetoğlu, Süleyman Baykal, Ahmet Sari, Ozgür Sayil, Halit Reşit Gümele |
Journal | Radiology
(Radiology)
Vol. 225
Issue 2
Pg. 353-8
(Nov 2002)
ISSN: 0033-8419 [Print] United States |
PMID | 12409566
(Publication Type: Evaluation Study, Journal Article)
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Copyright | Copyright RSNA, 2002 |
Chemical References |
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Topics |
- Abscess
(diagnostic imaging, surgery)
- Adolescent
- Adult
- Aged
- Antitubercular Agents
(administration & dosage)
- Combined Modality Therapy
- Drainage
- Female
- Humans
- Lumbar Vertebrae
(diagnostic imaging, surgery)
- Male
- Middle Aged
- Psoas Abscess
(diagnostic imaging, surgery)
- Recurrence
- Reoperation
- Surgery, Computer-Assisted
- Tomography, X-Ray Computed
- Tuberculosis, Spinal
(diagnostic imaging, surgery)
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