Etiological factors of psoas abscesses

Yıl 2014, Cilt: 5 Sayı: 1, 59 - 63, 01.03.2014

Mehmet Nuri Bodakçi Namık Kemal Hatipoğlu Mansur Dağgulli Mazhar Utangaaç Mehmet Guli Çetinçakmak Nebahat Hatipoğlu Haluk Söylemez

https://doi.org/10.5799/ahinjs.01.2014.01.0360

Öz

Objective: Psoas abscess (PA) is a rare infection disease, which is difficult to diagnose. In the present study, we aimed to evaluate etiological factors and treatment results of patients with PA. Methods: Files of 20 patients who were diagnosed as PA between December 2006 and January 2013, were retrospectively analyzed. Patient\'s whose data were entirely reached and diagnosed by Ultrasonography and/or Computed Tomography as an exact PA were included to the study. Results: The mean age of the 20 patients was 48.8 (range 17-82) year, and 6 of them were female and remaining were male. Psoas abscess were on the right side in 12 patients (60%), on the left side in seven patients (35%), and bilateral in one (5%). According to data records four patients had Diabetes Mellitus (20%), two had Hypertension (10%), one had cerebrovascular disease (5%), one had tuberculosis (5%), one had hyperthyroidism (5%), one had mental retardation (5%), and one had paraplegia (5%). Six case (30%) were diagnosed as a primary psoas abscess (pPA, sPA) and remaining (n=14, %70) were diagnosed as secondary. Percutaneous drainage was performed to 13 patients (65%) and exploration was performed to three patients (15%) as a treatment modality. Remaining four patients (20%) were followed by medical treatment. Conclusion: Psoas abscess is rare and have variable and non-specific clinical characteristic, which may lead to difficulty in diagnosis. In developed and developing countries, it has been reported that the most common causes of sPA are Pott's disease, and Crohn's disease, also it should be taken into account that open surgery and urinary tract stone disease can receive a significant portion of the etiological factors. J Clin Exp Invest 2014; 5 (1): 59-63

Anahtar Kelimeler

Psoas abscess, etiological factors, primary psoas abscess, secondary psoas abscess.

Psoas apselerinde etyolojik faktörler

Öz

Amaç: Psoas apsesi (PA) nadir görülen, zor tanı konulabilen
bir enfeksiyon hastalığıdır. Bu çalışmada PA tanısı
olan hastaları etyolojik faktörler ve tedavi sonuçları açısından değerlendirmeyi amaçladık.
Yöntemler: Aralık 2006-Ocak 2013 tarihleri arasında PA
tanısı konulan 20 hastanın dosyaları geriye dönük olarak
tarandı. Çalışmaya ultrasonografi ve/veya bilgisayarlı tomografi
ile kesin PA tanısı konulan ve tüm verilerine ulaşılan hastalar dahil edildi.
Bulgular: Çalışmaya alınan 20 hastanın yaş ortalaması:
48,8 (17-82) yıl, 6’sı kadın, 14’ü erkek idi. Hastaların
12’sinde (%60) sağ tarafta, 7’sinde (%35) sol tarafta ve
1’inde (%5) bilateral olarak PA görülmekteydi. Olguların
4’ünde (%20) diyabet, 2’sinde (%10) hipertansiyon, 1’inde
(%5) serebrovasküler hastalık, 1’inde (%5) tüberküloz,
1’inde (%5) hipertroidi, 1’inde (%5) mental retardasyon,
1’inde (%5) parapleji olduğu kaydedildi. Olguların 6 tanesi
primer (%30) ve 14 tanesi sekonder (%70) psoas apsesi
(pPA, sPA) olarak değerlendirildi. 13 hastaya (%65) perkütan
drenaj, 3 hastaya (%15) eksplorasyon yapıldı. Psoas
apsesi olan 4 hastaya (%20) sadece medikal tedavi
verildi.
Sonuç: Psoas apsesinin nadir görülmesi, değişken ve
özgün olmayan kliniği tanı koymada güçlüğe neden olabilmektedir.
Gelişmiş ve gelişmekte olan ülkelerde sPA’inde
en sık neden Pott hastalığı ve Chron hastalığı olarak
bildirilmekle beraber açık cerrahi ve üriner sistem taş
hastalığının da etyolojik faktörler arasında önemli bir yer
alabildiği dikkate alınmalıdır.

Anahtar Kelimeler

Psoas apsesi, etyolojik faktörler, primer psoas apsesi, sekonder psoas apsesi

Kaynakça

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