Dib M, Bedu A, Garel C, Mazda K, Philippe-Chomette P, Rajguru M, Hassan M, Aujard Y
Service de Néonatologie, Hôpital Robert Debré, Paris, France.
Pediatr Radiol. 2000 Oct;30(10):677-80. doi: 10.1007/s002470000309.
Ilio-psoas abscess is rare in neonates and is usually treated by surgical drainage. We report two cases of ilio-psoas abscess in 15- and 21-day-old infants successfully treated by US-guided percutaneous drainage as a supplement to antibiotic therapy. Clinical improvement was observed within 24-48 h of drainage and subsequent imaging demonstrated resolution of the abscess cavity. The analysis of these cases and of those previously reported indicates that imaging is essential for diagnosis. In neonates, US-guided percutaneous drainage may represent the first-choice treatment of this disease in association with antibiotic therapy.
髂腰肌脓肿在新生儿中较为罕见，通常采用手术引流治疗。我们报告两例分别为15日龄和21日龄婴儿的髂腰肌脓肿病例，通过超声引导下经皮引流成功治疗，作为抗生素治疗的补充。引流后24 - 48小时内观察到临床症状改善，随后的影像学检查显示脓肿腔消失。对这些病例以及先前报道病例的分析表明，影像学检查对诊断至关重要。在新生儿中，超声引导下经皮引流联合抗生素治疗可能是这种疾病的首选治疗方法。
