pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2024-1-17-23pmj-2683Research ArticleОБЗОРЫREVIEWSАбсцесс подвздошно-поясничной мышцы: этиология, патогенез, методы диагностики и леченияIliopsoas abscess: etiology, pathogenesis, methods of diagnosis and treatment (literature review)https://orcid.org/0009-0007-3911-9366ШумейкоА. А.ShumeykoA. A.

Шумейко Анна Анатольевна – врач-хирург 11-го хирургического отделения 

192242, г. Санкт-Петербург, ул. Будапештская, д. 3, литер А   тел.: +7 (904) 554-42-10 

Anna A. Shumeyko, surgeon of the 11th surgical department  

3 Budapeshtskaya str., St. Petersburg, 192242 

stolbova_aa@mail.ruБатыршинИ. М.BatyrshinI. M.

Санкт-Петербург 

St. Petersburg

ДемкоА. Е.DemkoA. E.

Санкт-Петербург

St. Petersburg 

СклизковД. С.SklizkovD. S.

Санкт-Петербург 

St. Petersburg

ОстроумоваЮ. С.OstroumovaJ. S.

Санкт-Петербург

St. Petersburg

ФоминД. В.FominD. V.

Санкт-Петербург

St. Petersburg

Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. ДжанелидзеРоссияSt. Petersburg Research Institute of Emergency Medicine named after I.I. DzhanelidzeRussian FederationСанкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе ; Военно-медицинская академия им. С.М. Кирова Министерства обороны Российской ФедерацииРоссияSt. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze ; Military Medical Academy named after S.M. KirovRussian Federation202418052024011723Copyright © Шумейко А.А., Батыршин И.М., Демко А.Е., Склизков Д.С., Остроумова Ю.С., Фомин Д.В., 20242024Шумейко А.А., Батыршин И.М., Демко А.Е., Склизков Д.С., Остроумова Ю.С., Фомин Д.В.Shumeyko A.A., Batyrshin I.M., Demko A.E., Sklizkov D.S., Ostroumova J.S., Fomin D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2683

Абсцесс подвздошно-поясничной мышцы является часто пропускаемой и поздно диагностируемой патологией, с которой могут столкнуться специалисты разных профилей. В зависимости от этиологии и патогенеза илиопсоас-абсцесс может быть первичным, если инфекционный процесс изначально развивается в подвздошно-поясничной мышце, либо вторичным, если инфекция распространяется из другого воспалительного очага. Заболевание часто имеет неспецифические клинические проявления, а при вторичных абсцессах может маскироваться симптомами основного заболевания. Наиболее информативными методами диагностики являются компьютерная и магнитно-резонансная томография. В случае раннего выявления и адекватного лечения прогноз, как правило, благоприятный. Несвоевременно начатое лечение может привести к таким серьезным осложнениям как гнойные затеки на соседние области, тяжелый сепсис, септический шок, стойкие функциональные нарушения. Без лечения летальность достигает 100%. До настоящего времени отсутствуют единые подходы к ведению пациентов с абсцессом подвздошно-поясничной мышцы.

Iliopsoas abscess comprises a frequently missed and late-diagnosed pathology that can be encountered by specialists of various profiles. Depending on the etiology and pathogenesis, iliopsoas abscess can be primary, if the infectious process initially develops in the iliopsoas muscle, or secondary, if the infection spreads from another inflammatory focus. The disease often has non-specific clinical manifestations and, in secondary abscesses, may be masked by symptoms of the underlying disease. The most informative diagnostic methods include CT scanning and magnetic resonance imaging. In the case of early detection and adequate treatment, the prognosis is generally good. Untimely treatment can lead to such serious complications as purulent leakage into neighboring areas, severe sepsis, septic shock, and persistent functional disorders. Without treatment, the mortality rate reaches 100%. To date, no uniform approaches to the management of patients with iliopsoas abscess has been developed.

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The authors declare that there are no conflicts of interest present.