Laparoscopic Treatment for Psoas Abscess

Chang-Hwa Hong; Sang-Ho Bae; Jong-Seok Park; Hyun-Woo Jung; Byung-Woong Jang

doi:10.4055/jkoa.2013.48.1.33

Journal List > J Korean Orthop Assoc > v.48(1) > 1013247

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Hong, Bae, Park, Jung, and Jang: Laparoscopic Treatment for Psoas Abscess

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2013; 48(1): 33-37.

Published online: 26 February 2013

DOI: https://doi.org/10.4055/jkoa.2013.48.1.33

Laparoscopic Treatment for Psoas Abscess

Chang-Hwa Hong, M.D., Sang-Ho Bae, M.D.^*, Jong-Seok Park, M.D., Hyun-Woo Jung, M.D., Byung-Woong Jang, M.D.

Department of Orthopedic Surgery, College of Medicine, Soon Chun Hyang University, Cheonan, Korea.

^*Department of General Surgery, College of Medicine, Soon Chun Hyang University, Cheonan, Korea.

Correspondence to: Chang-Hwa Hong, M.D. Department of Orthopedic Surgery, Soon Chun Hyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-721, Korea. TEL: +82-41-570-3640, FAX: +82-41-572-7234, chhong@sch.ac.kr

Received 2 March 2012 Revised 13 July 2012 Accepted 21 September 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: psoas abscess, drainage, laparoscopy

Figures and Tables

Figure 1

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

Figure 2

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

Figure 3

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

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