title: Inaccessible postoperative abdominal abscess: percutaneous drainage technique with puncture of a sinus tract.
abstract: The present report describes percutaneous drainage involving puncture of a sinus tract in 14 patients with inaccessible postoperative abdominal abscesses. In eight patients, a sinus tract formed by a previously placed surgical drain was percutaneously punctured under ultrasound guidance. In six patients, a sinus tract was accessed under fluoroscopic guidance, aiming at an indwelling surgical drain. A drainage catheter was successfully placed into the abscesses in 13 patients (92.9%). Complete resolution of abscesses was documented on follow-up computed tomography. Percutaneous drainage with puncture of a sinus tract may be a feasible and effective treatment for inaccessible postoperative abdominal abscesses.
authors.affiliation: Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 166, Gumi-ro, Bundang-gu, Seongnam, Gyeonggi 138-736, Republic of Korea.
authors.forename: Seung-Won
authors.initials: SW
authors.lastname: An
authors.forename: Chang Jin
authors.initials: CJ
authors.lastname: Yoon
authors.forename: Nak Jong
authors.initials: NJ
authors.lastname: Seong
authors.forename: Sung-Gwon
authors.initials: SG
authors.lastname: Kang
authors.forename: Ho-Seong
authors.initials: HS
authors.lastname: Han
authors.forename: Jai Young
authors.initials: JY
authors.lastname: Cho
authors.forename: Yoo-Seok
authors.initials: YS
authors.lastname: Yoon
authors.forename: Hyung-Ho
authors.initials: HH
authors.lastname: Kim
authors.forename: Young-Joo
authors.initials: YJ
authors.lastname: Kim
authors.forename: Young-Nam
authors.initials: YN
authors.lastname: Woo
authors.forename: Yun-Sin
authors.initials: YS
authors.lastname: Kim
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000368:Aged; D002404:Catheterization / Q000009:adverse effects; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011677:Punctures; D015641:Radiography, Interventional / Q000379:methods; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional