title: Percutaneous catheter drainage of abdominal abscess after abdominal surgery. Results in 121 cases.
abstract: 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.
authors.affiliation: Service d'Imagerie Médicale, Centre Hospitalier St-Joseph-Espérance, Liège, Belgium.
authors.forename: K
authors.initials: K
authors.lastname: Bouali
authors.forename: P
authors.initials: P
authors.lastname: Magotteaux
authors.forename: A
authors.initials: A
authors.lastname: Jadot
authors.forename: C
authors.initials: C
authors.lastname: Saive
authors.forename: R
authors.initials: R
authors.lastname: Lombard
authors.forename: J
authors.initials: J
authors.lastname: Weerts
authors.forename: B
authors.initials: B
authors.lastname: Dallemagne
authors.forename: C
authors.initials: C
authors.lastname: Jehaes
authors.forename: M
authors.initials: M
authors.lastname: Delforge
authors.forename: F
authors.initials: F
authors.lastname: Fontaine
mesh_terms: 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