Otro
Abscesso do músculo psoas em paciente submetida à analgesia por via peridural. Relato de caso
Registro en:
Revista Brasileira de Anestesiologia, v. 57, n. 2, p. 195-198, 2007.
0034-7094
1806-907X
10.1590/S0034-70942007000200009
S0034-70942007000200009
2-s2.0-33947418851.pdf
2-s2.0-33947418851
Autor
Kraychete, Durval Campos
Rocha, Anita Perpétua Carvalho
De Castro, Pedro Augusto Costa Rebouças
Resumen
BACKGROUND AND OBJECTIVES: Psoas muscle abscess is a rare complication of epidural analgesia. The adequate approach to this complication is fundamental for a good resolution. The objective of this report was to discuss the diagnosis and treatment of psoas muscle abscess. CASE REPORT: A female patient, 65 years old, with neuropathic pain in the lower limbs, difficult to control with systemic drugs. The patient was treated with epidural opioid and local anesthetic as an alternate treatment. Twenty days after the continuous epidural administration, the patient complained of lumbar pain, headache, and fever. A CT scan of the pelvis showed an abscess of the psoas muscle, thus, closed drainage and antibiotics were indicated. CONCLUSIONS: An adequate, continuous supervision of the patient is necessary when an epidural catheter is placed, and it should continue after its removal. © Sociedade Brasileira de Anestesiologia, 2007.