{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T17:21:03Z","timestamp":1794072063224,"version":"4.8.0"},"reference-count":40,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background and Clinical Significance: Iliopsoas abscess has recently become a condition quite frequently present in our practice, arising through hematogenous or lymphatic dissemination (primary), or secondary to trauma or infectious\u2013inflammatory vertebral, renal, or gastrointestinal diseases. It is often diagnosed with difficulty, due to the insidious and rather atypical symptomatology. The simultaneous relevance to neurosurgery, orthopedics, urology, rheumatology, and of course surgery, makes the iliopsoas abscess a real challenge in diagnosis and treatment for any of us, as well as collaboration between specialties. Case Presentation: The aim of this paper is to illustrate all this through a rare clinical case of vertebral tuberculosis, with giant abscesses of bilateral iliopsoas and comparison with data from the literature, through a review. Conclusions: The problems were related to the clinical\u2013paraclinical, etiological diagnosis, surgical strategy, technique and tactics, surgical approach, treatment and immediate, and both long-term postoperative management. The ultimate goal is to reduce morbidity and mortality secondary to this often-disabling condition.<\/jats:p>","DOI":"10.3390\/diagnostics15192506","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T08:20:28Z","timestamp":1759393228000},"page":"2506","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Giant Bilateral Iliopsoas Abscesses, Secondary to Pott\u2019s Disease: Challenging Diagnostic\u2013Therapeutic Protocol Management (Modern and Innovative Open Approach Technique Through J.L. Petit Triangle)\u2014A Case Report and Literature Review"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9655-6721","authenticated-orcid":false,"given":"Mihaela D.","family":"P\u00eervu","sequence":"first","affiliation":[{"name":"First Surgery Department, Emergency County Clinical Hospital, 900591 Constan\u021ba, Romania"},{"name":"Department of General Surgery, Faculty of Medicine, \u201cOvidius\u201d University, 900470 Constan\u021ba, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0181-691X","authenticated-orcid":false,"given":"Cristian C.","family":"Popa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"},{"name":"Second Department of Surgery, University Emergency Hospital Bucharest, 050098 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulian","family":"Lupu","sequence":"additional","affiliation":[{"name":"First Surgery Department, Emergency County Clinical Hospital, 900591 Constan\u021ba, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u0103t\u0103lin N.","family":"Grasa","sequence":"additional","affiliation":[{"name":"First Surgery Department, Emergency County Clinical Hospital, 900591 Constan\u021ba, Romania"},{"name":"Department of General Surgery, Faculty of Medicine, \u201cOvidius\u201d University, 900470 Constan\u021ba, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca T.","family":"Gheorghe","sequence":"additional","affiliation":[{"name":"Osteoarticular TB Clinic, Emergency County Clinical Hospital, 900591 Constan\u021ba, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasile","family":"S\u00e2rbu","sequence":"additional","affiliation":[{"name":"Medical Sciences, The Academy of Romanian Scientists, 010702 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/BF01647695","article-title":"Psoas abscess in Bristol: A 10-year review","volume":"2","author":"Bartolo","year":"1987","journal-title":"Int. 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