[Diagnostic imaging and interventional radiology in abdominal abscess formations].
Abdominal abscesses as a complication of laparotomic surgery have a high mortality rate. The authors reviewed the diagnostic and therapeutic procedures of 36 patients who developed intra-abdominal abscesses after surgical treatment for abdominal neoplasias. The first-step diagnostic procedures (plain film of the abdomen and chest, CT and US) showed a sensibility of 78%. In 25/36 patients (69.5%) two interventional radiology procedures were performed: fine needle aspiration and catheter drainage of the abscess. In 16% of patients fine needle aspiration led to a complete evacuation of the abscess cavity and guaranteed the recovery. In 84% of cases a drainage catheter was positioned into the cavity and left indwelling. This case review is aimed at stressing how plain film of the abdomen is still a diagnostic procedure with high sensibility and specificity for this pathology, even though it is currently considered as a second-choice diagnostic step--US and CT being assessed as the methodologies of choice. The latter techniques can both provide a more accurate imaging when interventional radiology procedures are to be performed.
D000005:Abdomen; D000038:Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001707:Biopsy, Needle; D004322:Drainage; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D012187:Retroperitoneal Space; D013158:Splenic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D013369:Subphrenic Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Diagnostica per immagini e radiologia interventiva nelle raccolte ascessuali dell'addome.