title: Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience.
abstract: OBJECTIVE
  This study was undertaken to evaluate the efficacy of image-guided percutaneous drainage in treating abdominal and pelvic abscesses.
  
  
  METHODS
  From August 2001 to August 2006, 95 patients (49 men and 46 women; mean age 61 years, range 25-92) with 107 abscesses underwent image-guided percutaneous drainage. Thirty-one abscesses were retroperitoneal (9 peripancreatic, 17 perirenal, 5 pararenal), 37 intraperitoneal (2 in communication with the small bowel), 8 intrahepatic (2 in communication with the extrahepatic biliary system and 2 with the intrahepatic biliary system), 4 perisplenic and 27 pelvic (4 in communication with the large bowel). Seventy-one of 107 procedures were performed with ultrasonographic (US) guidance and 36/107 with computed tomography (CT) guidance. All procedures were carried out with 8-to 14-Fr pigtail drainage catheters.
  
  
  RESULTS
  Immediate technical success was achieved in 107/107 fluid collections. No major complications occurred. In 98/107 abscesses, we obtained progressive shrinkage of the collection (>50%) with consequent clinical success. In 9/107 cases, percutaneous drainage was unable to resolve the fluid collection. There were 12 cases of catheter displacement and six of obstruction.
  
  
  CONCLUSIONS
  Percutaneous drainage is feasible and effective in treating abdominal and pelvic abscesses. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.
authors.affiliation: Vascular and Interventional Radiology, Department of Radiology, University of Insubria, 21100 Varese, Italy. donlaga@gmail.com
authors.forename: D
authors.initials: D
authors.lastname: Laganà
authors.forename: G
authors.initials: G
authors.lastname: Carrafiello
authors.forename: M
authors.initials: M
authors.lastname: Mangini
authors.forename: A
authors.initials: A
authors.lastname: Ianniello
authors.forename: A
authors.initials: A
authors.lastname: Giorgianni
authors.forename: P
authors.initials: P
authors.lastname: Nicotera
authors.forename: F
authors.initials: F
authors.lastname: Fontana
authors.forename: G
authors.initials: G
authors.lastname: Dionigi
authors.forename: C
authors.initials: C
authors.lastname: Fugazzola
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging* / Q000628:therapy*; D000038:Abscess / Q000000981:diagnostic imaging* / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
references.citation: Radiology. 1986 May;159(2):329-36
references.pmid: 2421370
references.citation: Radiology. 1989 May;171(2):497-500
references.pmid: 2704816
references.citation: Radiology. 1987 Apr;163(1):19-22
references.pmid: 3823434
references.citation: Cardiovasc Intervent Radiol. 2000 Nov-Dec;23(6):423-30
references.pmid: 11232889
references.citation: Radiology. 1987 Apr;163(1):15-8
references.pmid: 3823429
references.citation: Arch Surg. 1986 Feb;121(2):141-6
references.pmid: 3947214
references.citation: Cardiovasc Intervent Radiol. 1991 May-Jun;14(3):143-57
references.pmid: 1878904
references.citation: AJR Am J Roentgenol. 1984 Oct;143(4):811-5
references.pmid: 6332489
references.citation: Ann Surg. 1984 Jan;199(1):31-6
references.pmid: 6691729
references.citation: Am J Surg. 1973 Jan;125(1):70-9
references.pmid: 4566907
references.citation: Radiol Med. 1999 Mar;97(3):160-5
references.pmid: 10363058
references.citation: N Engl J Med. 1981 Sep 17;305(12):653-7
references.pmid: 7266601
references.citation: Radiol Med. 1996 Sep;92(3):241-6
references.pmid: 8975309
references.citation: AJR Am J Roentgenol. 1979 Jul;133(1):1-8
references.pmid: 110038
references.citation: Radiol Med. 1999 Sep;98(3):173-7
references.pmid: 10575448
references.citation: Arch Surg. 2002 Jul;137(7):845-9
references.pmid: 12093344
references.citation: Radiology. 1984 Dec;153(3):643-5
references.pmid: 6494461
references.citation: AJR Am J Roentgenol. 1998 Apr;170(4):1035-9
references.pmid: 9530055
references.citation: Am J Surg. 1990 Jan;159(1):99-104; discussion
references.pmid: 2294804
references.citation: J Vasc Interv Radiol. 1992 May;3(2):359-63
references.pmid: 1627886
references.citation: AJR Am J Roentgenol. 2004 Feb;182(2):463-6
references.pmid: 14736682
references.citation: Cardiovasc Intervent Radiol. 1999 Jan;22(1):25-8
references.pmid: 9929541
references.citation: AJR Am J Roentgenol. 1991 Dec;157(6):1209-12
references.pmid: 1719787
references.citation: Surgery. 1980 Oct;88(4):517-23
references.pmid: 7423374
references.citation: Radiol Clin North Am. 1994 Sep;32(5):913-32
references.pmid: 8085004
references.citation: AJR Am J Roentgenol. 1988 May;150(5):1043-5
references.pmid: 3258704
references.citation: Am J Surg. 1991 May;161(5):593-5
references.pmid: 2031543
references.citation: AJR Am J Roentgenol. 1986 Dec;147(6):1237-40
references.pmid: 3535457
references.citation: Eur Radiol. 2002 Dec;12(12):2883-9
references.pmid: 12439565
references.citation: Radiology. 1992 Jul;184(1):167-79
references.pmid: 1376932
references.citation: Radiology. 1986 Nov;161(2):289-91
references.pmid: 3763890
references.citation: Radiology. 1984 May;151(2):337-41
references.pmid: 6709901
references.citation: Dis Colon Rectum. 1994 Oct;37(10):984-8
references.pmid: 7924719
references.citation: Radiol Med. 1994 Jun;87(6):803-7
references.pmid: 8041935