Peripelvic infections mimicking septic arthritis of the hip
in children: treatment with needle aspiration
- Author(s)
- Kwang S. Song; Sung M. Lee
- Keimyung Author(s)
- Song, Kwang Soon; Lee, Sung Mun
- Department
- Dept. of Orthopedic Surgery (정형외과학)
Dept. of Radiology (영상의학)
- Journal Title
- Journal of Pediatric Orthopaedics Part B
- Issued Date
- 2003
- Volume
- 12
- Issue
- 5
- Keyword
- peripelvic infection; magnetic resonance imaging; computed tomography guided aspiration; septic hip
- Abstract
- We report the cases of five children treated for nonarticular
pelvic abscesses who presented with a provisional
diagnosis of septic hip. The diagnosis was
confirmed with magnetic resonance imaging (MRI) in four
cases, ultrasound in two and computed tomography
(CT) scan in one case. The MRI provided an accurate
location and the size of the lesion. Staphylococcus
aureus was the causative agent in all cases. The five cases
with large abscess in the soft tissue were treated with a
CT-guided needle aspiration followed by intravenous
antibiotics. All patients can be managed without open
surgical drainage and improved without any complications.
The less invasive, non-incisional, CT-guided needle
aspiration was an effective management for perihip abscesses.
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