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A case report of minimally invasive percutaneous ultrasound guided tuberculous iliopsoas abscess drainage in an immunocompromised patient.
Ismail, Allyzain; Ismail, Neelam; Ali, Athar; Adamjee, Shabbir; Jusabani, Ahmed; Fidaali, Zainab.
Afiliación
  • Ismail A; The Aga Khan University, East Africa Medical College, Tanzania. Electronic address: allyzain.ismail@akhst.org.
  • Ismail N; The Aga Khan Hospital, Dar-es-Salaam, Tanzania. Electronic address: neelam.ismail@akhst.org.
  • Ali A; The Aga Khan Hospital, Dar-es-Salaam, Tanzania. Electronic address: athar.ali@akhst.org.
  • Adamjee S; The Aga Khan University, East Africa Medical College, Tanzania. Electronic address: shabbir.adamjee@akhst.org.
  • Jusabani A; The Aga Khan Hospital, Dar-es-Salaam, Tanzania. Electronic address: ahmed.jusabani@akhst.org.
  • Fidaali Z; The Aga Khan Hospital, Dar-es-Salaam, Tanzania. Electronic address: zainab.fidaali@akhst.org.
Int J Surg Case Rep ; 92: 106867, 2022 Mar.
Article en En | MEDLINE | ID: mdl-35240480
INTRODUCTION AND IMPORTANCE: Iliopsoas abscess is a collection of pus that presents with nonspecific features with often delays in diagnosis however cause significant morbidity and mortality with Mycobacterium tuberculosis to be considered as causative agent in at risk individuals in tuberculous endemic regions. Management involves drainage and initiation of adequate antibiotics with radiological guided percutaneous approach considered the appropriate initial approach. CASE PRESENTATION: 50-year-old immunosuppressed presenting with left iliopsoas abscess who underwent ultrasound guided drainage and placement of pigtail catheter successfully without the need for open surgical drainage. Our experience of interventional radiology for diagnosis of causative agent and treatment in a sub-Saharan Africa. CLINICAL DISCUSSION: We concur with the recommendation to analyse fluid for tuberculosis in at risk individuals with minimally invasive procedures via interventional radiology as an adequate first line diagnostic and treatment option of psoas abscess. Ultrasound guided catheter placement and drainage successfully drained the abscess by day 10 similarly seen as the average duration in a case series from India. CONCLUSION: The importance of the role of interventional radiology in treatment for complex abdominal pathologies in sub-Saharan Africa with its ability to diagnose and treat via minimally invasive procedures at highest precision and lowest risks and complications while maintaining a high level of suspicion for tuberculosis as the underlying etiology is highlighted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Qualitative_research Idioma: En Revista: Int J Surg Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Qualitative_research Idioma: En Revista: Int J Surg Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos