Percutaneous catheter drainage of tuberculous psoas abscesses.

Six patients with 7 tuberculous psoas or ilio-psoas abscesses were treated by CT-guided catheter drainage and chemotherapy. The abscesses (5 unilateral and 1 bilateral) were completely drained using a posterior or lateral approach. The abscess volume was 70 to 700 ml (mean 300 ml) and the duration of drainage 5 to 11 days (mean 7 days). Immediate local symptomatic improvement was achieved in all patients, and there were no procedural complications. CT follow-up at 3 to 9 months showed normalization in 5 patients, 2 of whom are still on medical therapy. One patient, who did not take the medication regularly, had a recurrent abscess requiring new catheter drainage after which the fluid collection disappeared. Percutaneous drainage represents an efficient and attractive alternative to surgical drainage as a supplement to medical therapy in the management of patients with large tuberculous psoas abscesses.

[Miliary lung metastases of hepatocarcinoma: a rare form of presentation of the disease]. / Metástasis pulmonares miliares de hepatocarcinoma: forma infrecuente de presentación de la enfermedad.

The radiological demonstration of lung metastasis in hepatocarcinoma is a rare manifestation. The occurrence in a miliary pattern fashion is exceptional and even more so if it is the initial clinical feature. A case with all these clinical features is presented.