Abstract
Forty-two abdominal and retroperitoneal abscesses were drained percutaneously under ultrasound guidance. A success rate of 85.7% was achieved. Subsequent surgery was required in only 5 patients. Postoperative and spontaneous abscesses did equally well. Most intra-abdominal and retroperitoneal abscesses are amenable to this form of percutaneous drainage. The procedure requires only local anaesthesia and is well tolerated. Surgical management should probably now be reserved for those cases which are considered unsuitable for percutaneous drainage or which fail to resolve following this procedure.
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Selected References
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- Berger L. A., Osborne D. R. Treatment of pyogenic liver abscesses by percutaneous needle aspiration. Lancet. 1982 Jan 16;1(8264):132–134. doi: 10.1016/s0140-6736(82)90381-6. [DOI] [PubMed] [Google Scholar]
- Connell T. R., Stephens D. H., Carlson H. C., Brown M. L. Upper abdominal abscess: a continuing and deadly problem. AJR Am J Roentgenol. 1980 Apr;134(4):759–765. doi: 10.2214/ajr.134.4.759. [DOI] [PubMed] [Google Scholar]
- DeCrosse J. J., Poulin T. L., Fox P. S., Condon R. E. Subphrenic abscess. Surg Gynecol Obstet. 1974 Jun;138(6):841–846. [PubMed] [Google Scholar]
- Deck K. B., Berne T. V. Selective management of subphrenic abscesses. Arch Surg. 1979 Oct;114(10):1165–1168. doi: 10.1001/archsurg.1979.01370340071012. [DOI] [PubMed] [Google Scholar]
- Forgacs P., Wahner H. W., Keys T. F., Van Scoy R. E. Gallium scanning for the detection of abdominal abscesses. Am J Med. 1978 Dec;65(6):949–954. doi: 10.1016/0002-9343(78)90746-5. [DOI] [PubMed] [Google Scholar]
- Gerzof S. G., Robbins A. H., Johnson W. C., Birkett D. H., Nabseth D. C. Percutaneous catheter drainage of abdominal abscesses: a five-year experience. N Engl J Med. 1981 Sep 17;305(12):653–657. doi: 10.1056/NEJM198109173051201. [DOI] [PubMed] [Google Scholar]
- Gronvall J., Gronvall S., Hegedüs V. Ultrasound-guided drainage of fluid-containing masses using angiographic catheterization techniques. AJR Am J Roentgenol. 1977 Dec;129(6):997–1002. doi: 10.2214/ajr.129.6.997. [DOI] [PubMed] [Google Scholar]
- Haaga J. R., Alfidi R. J., Havrilla T. R., Cooperman A. M., Seidelmann F. E., Reich N. E., Weinstein A. J., Meaney T. F. CT detection and aspiration of abdominal abscesses. AJR Am J Roentgenol. 1977 Mar;128(3):465–474. doi: 10.2214/ajr.128.3.465. [DOI] [PubMed] [Google Scholar]
- Herbert D. A., Fogel D. A., Rothman J., Wilson S., Simmons F., Ruskin J. Pyogenic liver abscesses: successful non-surgical therapy. Lancet. 1982 Jan 16;1(8264):134–136. doi: 10.1016/s0140-6736(82)90382-8. [DOI] [PubMed] [Google Scholar]
- Holm H. H., Pedersen J. F., Kristensen J. K., Rasmussen S. N., Hancke S., Jensen F. Ultrasonically guided percutaneous puncture. Radiol Clin North Am. 1975 Dec;13(3):493–503. [PubMed] [Google Scholar]
- Koehler P. R., Moss A. A. Diagnosis of intra-abdominal and pelvic abscesses by computerized tomography. JAMA. 1980 Jul 4;244(1):49–52. [PubMed] [Google Scholar]
- Percutaneous catheter drainage of abdominal abscess. N Engl J Med. 1982 Jan 14;306(2):106–108. doi: 10.1056/NEJM198201143060214. [DOI] [PubMed] [Google Scholar]
- Satiani B., Davidson E. D. Hepatic abscesses: improvement in mortality with early diagnosis and treatment. Am J Surg. 1978 May;135(5):647–650. doi: 10.1016/0002-9610(78)90128-9. [DOI] [PubMed] [Google Scholar]
- Taylor K. J., Sullivan D. C., Wasson J. F., Rosenfield A. T. Ultrasound and gallium for the diagnosis of abdominal and pelvic abscesses. Gastrointest Radiol. 1978 Aug 31;3(3):281–286. doi: 10.1007/BF01887080. [DOI] [PubMed] [Google Scholar]
- vanSonnenberg E., Ferrucci J. T., Jr, Mueller P. R., Wittenberg J., Simeone J. F. Percutaneous drainage of abscesses and fluid collections: technique, results, and applications. Radiology. 1982 Jan;142(1):1–10. doi: 10.1148/radiology.142.1.7053517. [DOI] [PubMed] [Google Scholar]
