Percutaneous catheter drainage of abdominal abscess after abdominal surgery. Results in 121 cases.
One hundred and twenty-one peritoneal, retroperitoneal and pelvic abscesses were treated percutaneously using CT or US guidance. The lesions developed after abdominal surgery. Sixty-three abscesses (52%) were situated in the peritoneal cavity, 31 (26%) in the retroperitoneal cavity and 27 (22%) in the pelvis. A definitive treatment was obtained in 74% of peritoneal abscesses, 67% of retroperitoneal abscesses and 82% of pelvic abscesses. Failure most commonly occurred with multiloculated lesions or lesions associated with fistulous communication. There was a low rate of complication (1%). percutaneous drainage avoids the risks inherent in surgery and anesthesia, saves considerable time and meets greater patient acceptance. If a total cure is not systematic, a beneficial temporizing effect may however be obtained by percutaneous drainage. This procedure should be indicated for the initial treatment of postsurgical abscesses.
Bouali
K
K
Service d'Imagerie Médicale, Centre Hospitalier St-Joseph-Espérance, Liège, Belgium.
Magotteaux
P
P
Jadot
A
A
Saive
C
C
Lombard
R
R
Weerts
J
J
Dallemagne
B
B
Jehaes
C
C
Delforge
M
M
Fontaine
F
F
D000005:Abdomen / Q000601:surgery; D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography