Les abces primitifs du psoas chez l'enfant

ABSTRACT

About 8 cases of primary psoas abscess that have been treated surgically in our department since 1990, and after reviewing literature, we emphasizing the rarity of this entity, the difficult and late diagnosis because of simulation with other aflections [arthritis of the hip, appendicitis.].The etiology of primary psoas absess remains speculative. A post traumatic hematoma within the psoas muscle secondarily infected by hematological transmission from a pre-existing focus on the skin, secms to be the most likely etiology. Percutaneous guided catheter drainage has changed the therapeutic approach to psoas abcesses. It represents the best alternative to surgery of this disease