Pediatric Radiology

, Volume 17, Issue 1, pp 23–27 | Cite as

Ilio-psoas abscess: diagnosis and management

  • F. A. Hoffer
  • R. C. Shamberger
  • R. L. Teele


The triad of fever, limp, and pain in the flank, pelvis or leg often leads to the evaluation of the hip, genitourinary or gastrointestinal system. In the past 6 years, at our hospital, five adolescents and one young adult with these symptoms have had an ilio-psoas abscess, all diagnosed by ultrasonography. Once the diagnosis was established, four patients were treated successfully by percutaneous retroperitoneal drainage guided by ultrasonography [3] or computed tomography [1]. Catheter drainage averaged 11 days accompanied by appropriate antibiotics. The remaining two patients had surgical transperitoneal drainage. Growth ofStaphylococcus aureus, from an ilio-psoas abscess indicates that the process is primary in origin. Growth of fecal flora suggests an intra-abdominal process and warrants further investigation. Ilio-psoas abscess can be readily diagnosed by ultrasonography or computed tomography and treated by percutaneous retroperitoneal drainage.


Public Health Compute Tomography Catheter Young Adult Triad 
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Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • F. A. Hoffer
    • 2
  • R. C. Shamberger
    • 1
  • R. L. Teele
    • 2
  1. 1.Department of SurgeryThe Children's HospitalBostonUSA
  2. 2.Department of RadiologyThe Children's HospitalBostonUSA

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