Yano Tsunehiro, Takamatsu Hideo, Noguchi Hiroyuki, Tahara Hiroyuki, Kaji Tatsuru, Saruwatari Yumiko, Sakai Isao
Department of the Pediatric Surgery, Kagoshima University, Faculty of Medicine, Kagoshima, Japan.
J Pediatr Surg. 2004 Jul;39(7):e13-5. doi: 10.1016/j.jpedsurg.2004.03.080.
Iliopsoas abscess (IPA) is rare, especially in the neonatal period. The major presenting symptoms of IPA are leg or groin swelling, limitation of leg motion, and pain. The etiologies of IPA in many cases remain unknown, and the etiologic agent in many cases is Staphylococcus aureus. Ultrasonography and computed tomography are useful in diagnosing this disease. Antibiotics therapy and appropriate drainage are effective, and the prognosis is good. The authors present a neonatal case of IPA and discuss clinical symptoms, etiologic agents, methods of diagnosis and therapy, and prognosis.
髂腰肌脓肿（IPA）较为罕见，尤其是在新生儿期。IPA的主要表现症状为腿部或腹股沟肿胀、腿部活动受限及疼痛。许多情况下IPA的病因仍不明确，且很多病例的病原体为金黄色葡萄球菌。超声检查和计算机断层扫描对诊断该病很有用。抗生素治疗及适当引流有效，且预后良好。作者呈现了一例新生儿IPA病例，并讨论了临床症状、病原体、诊断和治疗方法以及预后。
