PURPOSE: This study was undertaken to evaluate the efficacy of image-guided percutaneous drainage in treating abdominal and pelvic abscesses. MATERIALS AND METHODS: From August 2001 to August 2006, 95 patients (49 men and 46 women; mean age 61 years, range 25-92) with 107 abscesses underwent image-guided percutaneous drainage. Thirty-one abscesses were retroperitoneal (9 peripancreatic, 17 perirenal, 5 pararenal), 37 intraperitoneal (2 in communication with the small bowel), 8 intrahepatic (2 in communication with the extrahepatic biliary system and 2 with the intrahepatic biliary system), 4 perisplenic and 27 pelvic (4 in communication with the large bowel). Seventy-one of 107 procedures were performed with ultrasonographic (US) guidance and 36/107 with computed tomography (CT) guidance. All procedures were carried out with 8-to 14-Fr pigtail drainage catheters. RESULTS: Immediate technical success was achieved in 107/107 fluid collections. No major complications occurred. In 98/107 abscesses, we obtained progressive shrinkage of the collection (>50%) with consequent clinical success. In 9/107 cases, percutaneous drainage was unable to resolve the fluid collection. There were 12 cases of catheter displacement and six of obstruction. CONCLUSIONS: Percutaneous drainage is feasible and effective in treating abdominal and pelvic abscesses. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.
PURPOSE: This study was undertaken to evaluate the efficacy of image-guided percutaneous drainage in treating abdominal and pelvic abscesses. MATERIALS AND METHODS: From August 2001 to August 2006, 95 patients (49 men and 46 women; mean age 61 years, range 25-92) with 107 abscesses underwent image-guided percutaneous drainage. Thirty-one abscesses were retroperitoneal (9 peripancreatic, 17 perirenal, 5 pararenal), 37 intraperitoneal (2 in communication with the small bowel), 8 intrahepatic (2 in communication with the extrahepatic biliary system and 2 with the intrahepatic biliary system), 4 perisplenic and 27 pelvic (4 in communication with the large bowel). Seventy-one of 107 procedures were performed with ultrasonographic (US) guidance and 36/107 with computed tomography (CT) guidance. All procedures were carried out with 8-to 14-Fr pigtail drainage catheters. RESULTS: Immediate technical success was achieved in 107/107 fluid collections. No major complications occurred. In 98/107 abscesses, we obtained progressive shrinkage of the collection (>50%) with consequent clinical success. In 9/107 cases, percutaneous drainage was unable to resolve the fluid collection. There were 12 cases of catheter displacement and six of obstruction. CONCLUSIONS: Percutaneous drainage is feasible and effective in treating abdominal and pelvic abscesses. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.
Authors: O S AAssar; J M LaBerge; R L Gordon; M W Wilson; S J Mulvihill; L W Way; R K Kerlan Journal: Cardiovasc Intervent Radiol Date: 1999-01 Impact factor: 2.740
Authors: A Leone; P Violino; D Ghirardo; L Fioranti; M Borrelli; A Scarrone; L Pancione; C Ambrogi; C Ferro Journal: Radiol Med Date: 1996-09 Impact factor: 3.469
Authors: David H Ballard; Sarah T Flanagan; Ryan W Brown; Romulo Vea; Chaitanya Ahuja; Horacio B D'Agostino Journal: Acad Radiol Date: 2019-04-26 Impact factor: 3.173
Authors: Giovanni Mauri; Lorenzo C Pescatori; Chiara Mattiuz; Dario Poretti; Vittorio Pedicini; Fabio Melchiorre; Umberto Rossi; Luigi Solbiati; Luca Maria Sconfienza Journal: Radiol Med Date: 2016-10-17 Impact factor: 3.469
Authors: Katharina S Winter; Veronika Greif; Alexander Crispin; Caroline Burgard; Robert Forbrig; Thomas Liebig; Christoph G Trumm; Robert Stahl Journal: Diagnostics (Basel) Date: 2021-05-02