Saylam K, Anaf V, Kirkpatrick C
Université Libre de Brussels, Hôspital Universitaire Erasme, Service de Gynécologie-Obstétrique, 808 Route de Lennik, 1070 Brussels, Belgium.
Eur J Obstet Gynecol Reprod Biol. 2002 May 10;102(2):211-4. doi: 10.1016/s0301-2115(01)00604-2.
The psoas abscess is a rare complication in obstetric and gynaecology. Two types of psoas abscess are recognized. The primary psoas abscess is generally following haematogenous dissemination of an infectious agent and the source is usually occult. The most frequently isolated pathogen is Staphylococcus aureus. On the other hand, the secondary abscess is the result of local extension of an infectious process near the psoas muscle. We report the case of a patient who develops a bacteremia from an infected cesarean section wound. The complications were thigh and psoas abscesses with left sacroiliitis. Medical management with prolonged antibiotherapy permit clinical, biological and radiological improvement. Although it required a long hospital stay, medical treatment alone was effective. More experience is required to determine which therapeutic option: medical treatment and/or surgery, is the best choice for this type of complication.
腰大肌脓肿是妇产科罕见的并发症。腰大肌脓肿分为两种类型。原发性腰大肌脓肿通常是感染源经血行播散所致，其感染源通常隐匿。最常分离出的病原体是金黄色葡萄球菌。另一方面，继发性脓肿是腰大肌附近感染过程局部蔓延的结果。我们报告了一例因剖宫产伤口感染而发生菌血症的患者。并发症为大腿和腰大肌脓肿伴左侧骶髂关节炎。长期抗生素治疗的内科治疗使临床、生物学和影像学状况得到改善。尽管住院时间较长，但单纯内科治疗是有效的。需要更多经验来确定哪种治疗方案（内科治疗和/或手术）是这类并发症的最佳选择。
