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MUSCULOSKELETAL RADIOLOGY Table of Contents   
Year : 2001  |  Volume : 11  |  Issue : 1  |  Page : 13-16
Percutaneous drainage of tuberculous abcesses


1 Department of Radiodiagnosis, G B Pant Hospital, New Delhi-110 002, India
2 Department of Gastroenterology, G B Pant Hospital, New Delhi-110 002, India
3 Department of Orthopaedics, Lok Nayak Hospital, New Delhi-110 002, India

Correspondence Address:
S K Puri
Radiodiagnosis, 15A/14, East Patel Nagar, New Delhi 110008
India
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Source of Support: None, Conflict of Interest: None


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Objectives: To assess the role of percutaneous catheter drainage (PCD) in the management of tuberculous ilio-psoas abscesses. Materials and methods: Twenty-two patients with 26 tuberculous ilio-psoas abscesses were subjected to PCD under real _time US guidance taking help of a pre-procedure CT for planning the route of catheter insertion. Results: Complete cure of the ilio-psoas abscesses could be achieved in 22 of 26 abscesses (84.6%). Average duration of drainage was 10 days. US / CT follow-up ranged from 3-24 months. PCD was a failure in four abscesses (15.4%). Two patients, one with bilateral abscesses, had recurrent abscesses while one patient had an abscess associated with extensive spondylo-discitis. No significant complication was encountered in the study. Conclusions: PCD is a simple, safe and very effective (success rate 84.6%) alternative to surgical drainage in the management of tuberculous ilio-psoas abscesses.


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