[CT guided percutaneous drainage of retro- and extraperitoneal abscesses and fluid collection].
OBJECTIVE
Evaluation of course, success rate and complications after CT-guided percutaneous drainage of retroperitoneal and extraperitoneal abscesses and fluid collections (PAFD).


METHODS
Retrospective review of 47 PAFD in 42 consecutive patients (27 male, 15 female, age 58 [27-80] years) over a period of 7 years was performed.


RESULTS
47 clinically suspected abscesses proved to be 40 abscesses, three haematomas and 4 lymphoceles. Primarily, 67 drainage catheters were needed, which included three catheters in 4 patients and 4 catheters in one patient. Drainage time averaged 17.6 days (2-50). The most frequent drainage location was the iliopsoas region (27/47 collections). The cure rate was 87.2% (41/47 collections). Temporization was achieved in 8.5% (4/47); there were two drainage failures (one sepsis, one recurrence). No major complications were observed. Three catheter dislocations occurred as minor complications.


CONCLUSIONS
CT-guided percutaneous drainage of retroperitoneal and extraperitoneal abscesses and fluid collections is safe, with a high cure rate and few complications.
Risse
J H
JH
Klinik für Radiologische Diagnostik, Universitätsklinikum der RWTH Aachen.
Keulers
P
P
Günther
R W
RW
D000038:Abscess / Q000000981:diagnostic imaging* / Q000628:therapy*; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed