[Treatment of intra-abdominal abscesses by ultrasonically guided fine-needle puncture].
23 abdominal abscesses were diagnosed by ultrasound and confirmed by sonographically guided puncture. 18 cases were treated by an evacuating needle puncture and 5 cases by sonographically guided percutaneous drainage. In 12 out of 15 patients, fine needle puncture was curative without surgery required (80%). 2 out of 4 patients treated by percutaneous drainage had to be operated. Initially, 4 patients were operated, though after fine needle puncture or drainage a complete remission of symptoms and leukocytosis was observed. There were 2 complications: one hemorrhage leading to death following fine needle puncture of a pancreatic abscess and one temporary septicaemia. Sonographically guided fine needle puncture is simple and effective procedure in treatment of abdominal abscesses and should be considered as an alterative to surgery.
D000038:Abscess / Q000628:therapy; D000328:Adult; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009339:Needles; D010182:Pancreatic Diseases / Q000628:therapy; D011677:Punctures / Q000379:methods*; D013158:Splenic Diseases / Q000628:therapy; D013369:Subphrenic Abscess / Q000628:therapy*; D014465:Ultrasonics
Die Behandlung intraabdomineller Abszesse durch ultraschallgeführte Feinnadelpunktion.