Iliopsoas Abscess: Presentation, Etiology, Treatment Options, and Outcomes: A Retrospective Analysis of 19 Cases

• Khaled Faiz

  Department of Surgery, Ben-ghazi Medical Center

  Author

• Jamal Gomati

  Department of Surgery, Ben-ghazi Medical Center

  Author

• Tariq Elhoony

  7th October Hospital Ben-ghazi-Libya

  Author

• Tariq Aldarat

  Department of Surgery, Ben-ghazi Medical Center

  Author

• Salah Eltaktouk

  Department of Surgery, Ben-ghazi Medical Center

  Author

• Muftah Elkhafifi

  Al-hawari Center-Urology Department Benghazi-Libya

  Author

• Ali Abokiash

  Al-hawari Center-Urology Department Benghazi-Libya

  Author

• Raouf Kwafi

  Department of Surgery, Ben-ghazi Medical Center

  Author

• Issa Abuzied

  Department of Surgery, Ben-ghazi Medical Center

  Author

Iliopsoas abscess (IPA) is an exceptional condition with high rates of mortality and morbidity. Pyogenic abscesses (PAs), which account for more than half of iliopsoas abscesses, have developed comparatively more frequently as the prevalence of tuberculosis disease has diminished. Our study aims to analyze the presentation, treatment, and outcomes in 19 patients with a diagnosis of IPA. A retrospective analysis of 19 consecutive IPA cases managed at teaching hospitals (Benghazi Medical Center and Urology Center) Benghazi-Libya. Among 19 patients with a diagnosis of IPA, 12 were males (63.1 %) with a mean age of 50 years (range, 11 to 78 y). and 7 were females (36.9 %) with an average age of 41 (16 - 67) years the most frequent feature was lower abdominal pain (73.6 %), fever (57.8 %), followed by limping (36.8 %), and Weight loss (21.1 %). Leukocytosis was the most common laboratory finding (86.4 %), whereas anemia was the second most common laboratory finding found in (26.3%). Three patients (15.8 %) underwent ultrasound (U/S) with negative results before CT (computed tomography) which was the confirmatory scan for all patients. Six patients underwent open surgical drainage (31.6 %) and thirteen (68.4 %) were submitted to percutaneous drainage (PCD) under ultrasound guidance with an overall success rate of 97 %. Compared to surgery, PCD had a lower mean in-hospital stay. US-guided PCD along with the proper antibiotic medication is safe, effective, and results in a shorter hospital stay.

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