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Iliopsoas abscess

MedGen UID:
38999
•Concept ID:
C0085222
•
Disease or Syndrome
Synonyms: Abscess, Iliopsoas; Abscess, Psoas; Abscess, Pyogenic Iliopsoas; Abscesses, Iliopsoas; Abscesses, Psoas; Abscesses, Pyogenic Iliopsoas; Iliopsoas Abscess; Iliopsoas Abscess, Pyogenic; Iliopsoas Abscesses; Iliopsoas Abscesses, Pyogenic; Psoas Abscess; Psoas Abscesses; Pyogenic Iliopsoas Abscess; Pyogenic Iliopsoas Abscesses
SNOMED CT: Psoas muscle abscess (266463007); Iliopsoas abscess (266463007); Psoas abscess (266463007)

Definition

Abscess of the PSOAS MUSCLES resulting usually from disease of the lumbar vertebrae, with the pus descending into the muscle sheath. The infection is most commonly tuberculous or staphylococcal. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIliopsoas abscess

Professional guidelines

PubMed

Acetabular defect management and revision arthroplasty via the direct anterior approach.
Holzapfel BM, Corten K, Goldberg T, Rudert M, Nogler M, Moskal J, Thaler M
Oper Orthop Traumatol 2022 Jun;34(3):203-217. Epub 2022 Jun 9 doi: 10.1007/s00064-022-00767-6. PMID: 35680676
Iliopsoas abscess: presentation, management, and outcomes.
Dietrich A, Vaccarezza H, Vaccaro CA
Surg Laparosc Endosc Percutan Tech 2013 Feb;23(1):45-8. doi: 10.1097/SLE.0b013e31826e0ac9. PMID: 23386150
Management and treatment of iliopsoas abscess.
Tabrizian P, Nguyen SQ, Greenstein A, Rajhbeharrysingh U, Divino CM
Arch Surg 2009 Oct;144(10):946-9. doi: 10.1001/archsurg.2009.144. PMID: 19841363

Recent clinical studies

Etiology

Iliopsoas Abscess in Hemodialysis Patients With End-Stage Kidney Disease.
Kawai Y, Banshodani M, Moriishi M, Sato T, Shintaku S, Masaki T, Kawanishi H
Ther Apher Dial 2019 Dec;23(6):534-541. Epub 2019 Apr 25 doi: 10.1111/1744-9987.12801. PMID: 30864296
Iliopsoas abscess: presentation, management, and outcomes.
Dietrich A, Vaccarezza H, Vaccaro CA
Surg Laparosc Endosc Percutan Tech 2013 Feb;23(1):45-8. doi: 10.1097/SLE.0b013e31826e0ac9. PMID: 23386150
Management and treatment of iliopsoas abscess.
Tabrizian P, Nguyen SQ, Greenstein A, Rajhbeharrysingh U, Divino CM
Arch Surg 2009 Oct;144(10):946-9. doi: 10.1001/archsurg.2009.144. PMID: 19841363
Iliopsoas abscesses: diagnostic, aetiologic and therapeutic approach in five patients with a literature review.
Charalampopoulos A, Macheras A, Charalabopoulos A, Fotiadis C, Charalabopoulos K
Scand J Gastroenterol 2009;44(5):594-9. doi: 10.1080/00365520902745054. PMID: 19225988
Iliopsoas abscess: etiology, diagnosis, and treatment.
Desandre AR, Cottone FJ, Evers ML
Am Surg 1995 Dec;61(12):1087-91. PMID: 7486453

Diagnosis

Iliopsoas abscess.
Li Y, Funakoshi H, Shiga T, Fujitani S
Cleve Clin J Med 2017 Nov;84(11):833-834. doi: 10.3949/ccjm.84a.17002. PMID: 29173253
Iliopsoas abscess: presentation, management, and outcomes.
Dietrich A, Vaccarezza H, Vaccaro CA
Surg Laparosc Endosc Percutan Tech 2013 Feb;23(1):45-8. doi: 10.1097/SLE.0b013e31826e0ac9. PMID: 23386150
Neonatal iliopsoas abscess.
Horiuchi A, Kameoka K, Kuwabara J, Watanabe Y, Kawakami S, Tauchi H, Ishii E
Pediatr Int 2012 Oct;54(5):712-4. doi: 10.1111/j.1442-200X.2012.03593.x. PMID: 23005905
Iliopsoas abscess--a review and update on the literature.
Shields D, Robinson P, Crowley TP
Int J Surg 2012;10(9):466-9. Epub 2012 Sep 5 doi: 10.1016/j.ijsu.2012.08.016. PMID: 22960467
Iliopsoas abscesses.
Mallick IH, Thoufeeq MH, Rajendran TP
Postgrad Med J 2004 Aug;80(946):459-62. doi: 10.1136/pgmj.2003.017665. PMID: 15299155Free PMC Article

Therapy

Iliopsoas Abscess in Hemodialysis Patients With End-Stage Kidney Disease.
Kawai Y, Banshodani M, Moriishi M, Sato T, Shintaku S, Masaki T, Kawanishi H
Ther Apher Dial 2019 Dec;23(6):534-541. Epub 2019 Apr 25 doi: 10.1111/1744-9987.12801. PMID: 30864296
Iliopsoas abscess: presentation, management, and outcomes.
Dietrich A, Vaccarezza H, Vaccaro CA
Surg Laparosc Endosc Percutan Tech 2013 Feb;23(1):45-8. doi: 10.1097/SLE.0b013e31826e0ac9. PMID: 23386150
Neonatal iliopsoas abscess.
Horiuchi A, Kameoka K, Kuwabara J, Watanabe Y, Kawakami S, Tauchi H, Ishii E
Pediatr Int 2012 Oct;54(5):712-4. doi: 10.1111/j.1442-200X.2012.03593.x. PMID: 23005905
Iliopsoas abscesses: diagnostic, aetiologic and therapeutic approach in five patients with a literature review.
Charalampopoulos A, Macheras A, Charalabopoulos A, Fotiadis C, Charalabopoulos K
Scand J Gastroenterol 2009;44(5):594-9. doi: 10.1080/00365520902745054. PMID: 19225988
Iliopsoas abscesses.
Mallick IH, Thoufeeq MH, Rajendran TP
Postgrad Med J 2004 Aug;80(946):459-62. doi: 10.1136/pgmj.2003.017665. PMID: 15299155Free PMC Article

Prognosis

Detection of mecA and 16S rRNA Genes Using Real-Time PCR Can Be Useful in Diagnosing Iliopsoas Abscess, Especially in Culture-Negative Cases: RT-PCR for Iliopsoas Abscess.
Choe H, Kobayashi N, Ito Y, Ike H, Tezuka T, Takeyama M, Kawabata Y, Inaba Y
Biomed Res Int 2022;2022:2209609. Epub 2022 Feb 11 doi: 10.1155/2022/2209609. PMID: 35187161Free PMC Article
Clinical features, management, and outcome of iliopsoas abscess associated with cardiovascular disorders: a hospital-based observational case series study.
Hu SY, Hsieh MS, Chang YT, Huang CC, Tsai CA, Tsai CL, Hsu CY, Shen CH, Chang YZ
BMC Musculoskelet Disord 2019 Oct 25;20(1):474. doi: 10.1186/s12891-019-2798-3. PMID: 31653245Free PMC Article
Iliopsoas Abscess in Hemodialysis Patients With End-Stage Kidney Disease.
Kawai Y, Banshodani M, Moriishi M, Sato T, Shintaku S, Masaki T, Kawanishi H
Ther Apher Dial 2019 Dec;23(6):534-541. Epub 2019 Apr 25 doi: 10.1111/1744-9987.12801. PMID: 30864296
Iliopsoas abscesses: diagnostic, aetiologic and therapeutic approach in five patients with a literature review.
Charalampopoulos A, Macheras A, Charalabopoulos A, Fotiadis C, Charalabopoulos K
Scand J Gastroenterol 2009;44(5):594-9. doi: 10.1080/00365520902745054. PMID: 19225988
Iliopsoas abscess: etiology, diagnosis, and treatment.
Desandre AR, Cottone FJ, Evers ML
Am Surg 1995 Dec;61(12):1087-91. PMID: 7486453

Clinical prediction guides

Prognostic nutritional index as outcome predictor in patients with iliopsoas abscess.
Matsuo T, Fujita Y, Amagai T
Medicine (Baltimore) 2022 Oct 28;101(43):e31256. doi: 10.1097/MD.0000000000031256. PMID: 36316935Free PMC Article
Detection of mecA and 16S rRNA Genes Using Real-Time PCR Can Be Useful in Diagnosing Iliopsoas Abscess, Especially in Culture-Negative Cases: RT-PCR for Iliopsoas Abscess.
Choe H, Kobayashi N, Ito Y, Ike H, Tezuka T, Takeyama M, Kawabata Y, Inaba Y
Biomed Res Int 2022;2022:2209609. Epub 2022 Feb 11 doi: 10.1155/2022/2209609. PMID: 35187161Free PMC Article
Transverse process osteotomy for surgical drainage of primary iliopsoas abscess and secondary cases combined with spondylodiscitis.
Ibrahim FMF, El-Rady AEMA
Int Orthop 2021 Jan;45(1):165-171. Epub 2020 Jul 26 doi: 10.1007/s00264-020-04732-5. PMID: 32712788
Clinical features, management, and outcome of iliopsoas abscess associated with cardiovascular disorders: a hospital-based observational case series study.
Hu SY, Hsieh MS, Chang YT, Huang CC, Tsai CA, Tsai CL, Hsu CY, Shen CH, Chang YZ
BMC Musculoskelet Disord 2019 Oct 25;20(1):474. doi: 10.1186/s12891-019-2798-3. PMID: 31653245Free PMC Article
The iliopsoas abscess: aetiology, therapy, and outcome.
Baier PK, Arampatzis G, Imdahl A, Hopt UT
Langenbecks Arch Surg 2006 Aug;391(4):411-7. Epub 2006 May 6 doi: 10.1007/s00423-006-0052-6. PMID: 16680473

Recent systematic reviews

Iliopsoas abscess--a review and update on the literature.
Shields D, Robinson P, Crowley TP
Int J Surg 2012;10(9):466-9. Epub 2012 Sep 5 doi: 10.1016/j.ijsu.2012.08.016. PMID: 22960467

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