[The advantages of combined US-fluoroscopic guidance in the drainage of abdominal abscesses].
The authors report their experience with 19 percutaneous drainages of abdominal abscesses in 19 patients. Six collections were in the subphrenic spaces, 6 in the liver, 1 in the infracolic space, 2 in the psoas muscle, 3 within the abdominal wall, and 1 in the pararenal space. Their etiology was abdominal surgery in 10 patients, biliary obstruction in 1, and trauma in 2; in the extant patients a hematogenous infection was supposed. The procedures were performed under combined US and fluoroscopic guidance, following Seldinger technique in all but two cases. Van Sonnenberg double-lumen sump catheter was successfully employed in all cases. After a review of the technique the authors discuss the advantages of US-fluoroscopic over CT guidance. The latter is preferred if the collection is not well demonstrated by US and in the cases where a posterior approach is needed. The economic advantages of US-fluoroscopic over CT guidance are also stressed.
Lemmi
A
A
Istituto di Radiologia, Università, Perugia.
Lupattelli
L
L
Barzi
F
F
Malaspina
C
C
Rizzo
F
F
D000005:Abdomen / Q000000981:diagnostic imaging*; D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D005471:Fluoroscopy; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D011860:Radiography, Abdominal; D013369:Subphrenic Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D013396:Suction / Q000295:instrumentation / Q000379:methods; D014463:Ultrasonography
Vantaggi della guida mista eco-fluoroscopica nel drenaggio di ascessi addominali.