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World Journal of Surgery

, Volume 14, Issue 2, pp 204–209 | Cite as

Imaging intraabdominal abscesses and nonoperative drainage procedures

  • John R. Haaga
Progress Symposium—Intraabdominal Infections

Abstract

With state-of-the-art imaging and interventional techniques, the diagnosis and management of intraabdominal abscesses have improved. Radionuclide scanning, ultrasound, and computed tomography are very accurate for the diagnosis and staging of intraabdominal abscesses, permitting the use of percutaneous drainage methods. Percutaneous abscess drainage (PAD) has gained wide acceptance and applications now include not only curative drainages but also certain palliative ones. Although some controversy exists relative to results and palliative procedures, PAD is now accepted as an effective alternative to operative drainage.

Keywords

Effective Alternative Percutaneous Drainage Sino Wide Acceptance Curative Drainage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Les techniques d'imagerie interventionnelles modernes ont amélioré le diagnostic et le traitement des abcès intraabdominaux. La scintigraphie, l'échographie, et la tomodensitométrie fournissent des résultats précis dans le diagnostic et la classification des abcès et permettent l'utilisation des méthodes de drainage percutané. La technique de drainage percutané est très répandue et son application est à visée palliative ou curative. Bien qu'existent encore quelques problèmes concernant les résultats des procédés palliatifs, le drainage percutané est actuellement une méthode qui peut souvent remplacer le drainage chirurgical.

Resumen

Los modernos métodos de imágenes diagnósticas y las técnicas intervencionistas han logrado una superación sustancial en el diagnóstico y manejo de los abscesos intraabdominales. La escanografía con radionúclidos, la ultrasonografía, y la tomografía computadorizada son métodos de gran certeza para el diagnóstico y clasificación de los abscesos intraabdominales, y hacen posible la utilización de métodos percutáneos de drenaje. El drenaje percutáneo ha merecido gran aceptación y sus aplicaciones incluyen no sólo el drenaje curativo sino también algunos tipos de drenaje paliativo. Aunque persiste alguna controversia relativa a los resultados de los procedimientos paliativos, el drenaje percutáneo de los abscesos representa actualmente una alternativa aceptada y eficaz al drenaje operatorio.

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References

  1. 1.
    Carroll, B., Silverman, P.M., Goodwin, D.A., McDougall, I.R.: Ultrasonography and Indium 111 white blood cell scanning for the detection of intraabdominal abscesses. Radiology140:155, 1981Google Scholar
  2. 2.
    Datz, F.L., Luers, P., Baker, W.J., Christiann, P.E.: Improved detection of upper abdominal abscesses by combination of 99m Tc sulfur colloid and 111In leukocyte scanning. Am. J. Roentgenol.144:319, 1985Google Scholar
  3. 3.
    Gerzof, S.C., Johnson, W.C., Robbins, A.H., Nabseth, D.C.: Expanded criteria for percutaneous abscess drainage. Arch. Surg.120:227, 1985Google Scholar
  4. 4.
    Subramanyam, B.R., Balthazar, E.J., Raghavendra, B.N., Horii, S.C., Hilton, S., Naidich, D.P.: Ultrasound analysis of solid-appearing abscesses. Radiology146:487, 1983Google Scholar
  5. 5.
    Morris, J., Stellato, T., Haaga, J., Lieberman, J.: Utility of CT in colonic diverticulitis. Ann. Surg.204:128, 1986Google Scholar
  6. 6.
    Hulnick, D.H., Megibow, A.J., Balthazar, E.J., Bosniak, M.A.: Computed tomography in the evaluation of diverticulitis. Radiology152:491, 1984Google Scholar
  7. 7.
    Muroff, L.R.: Detection of abdominal abscesses with Gallium-67 citrate: Correlative studies with computed tomography. Sem. Nucl. Med.XXI:173, 1982Google Scholar
  8. 8.
    Seabold, J.E., Wilson, D.G., Lieberman, L.M., Boyd, C.M.: Unsuspected extra-abdominal sites of infection: Scintigraphic detection with Indium-111-labeled leukocytes. Radiology151:213, 1984Google Scholar
  9. 9.
    McAfee, J.G., Samin, A.: In-111 labeled leukocytes: A review of problems in image interpretation. Radiology155:221, 1985Google Scholar
  10. 10.
    Rovekamp, M.H., van Royen, E.A., Reinders Folmer, S.C.C., van der Schoot, J.B.: Diagnosis of upper-abdominal infections by In-111 labeled leukocytes with Tc-99m colloid subtraction technique. J. Nucl. Med.24:212, 1983Google Scholar
  11. 11.
    Knochel, J.O., Koehler, P.R., Lee, T.G.: Diagnosis of abdominal abscesses with computed tomography, ultrasound, and In-111 leukocyte scans. Radiology137:427, 1980Google Scholar
  12. 12.
    Haaga, J.R., Alfidi, R.J., Havrilla, T.R.: CT detection and aspiration of abdominal abscess. Am. J. Roentgenol.128:465, 1977Google Scholar
  13. 13.
    Dobrin, P.B., Gully, P.H., Greenlee, H.B., Freeark, R.J., Moncada, R., Churchill, R., Reynes, C., Henkin, R.: Radiologic diagnosis of an intraabdominal abscess. Do multiple tests help? Arch. Surg.121:41, 1986Google Scholar
  14. 14.
    Roche, J.: Effectiveness of computed tomography in the diagnosis of intraabdominal abscess. Med. J. Aust.25:85, 1981Google Scholar
  15. 15.
    Haaga, J.R., Reich, N., editors: Computed Tomography of Abdominal Abnormalities, St. Louis, C.V. Mosby, 1978Google Scholar
  16. 16.
    van Sonnenberg, E.: Percutaneous drainage of abscesses and fluid collections: Technique, results, and applications. Radiology142:1, 1982Google Scholar
  17. 17.
    Martin, E.C.: Percutaneous drainage of postoperative intraabdominal abscesses. Am. J. Roentgenol.138:13, 1982Google Scholar
  18. 18.
    Haaga, J.R.: CT-guided procedures. In Computed Tomography of the Whole Body, second edition, J.R. Haaga, R.J. Alfidi, editors, St. Louis, C.V. Mosby, 1988, ch. 30, pp. 1200–1320Google Scholar
  19. 19.
    Fry, D.E., Garrison, R.N., Neitsch, R.C.: Determinants of death in patients with intraabdominal abscess. Surgery88:517, 1980Google Scholar
  20. 20.
    Brolin, R.E., Nosher, J.L., Leiman, S.: Percutaneous catheter versus open surgical drainage in the treatment of abdominal abscesses. Am. Surg.150:102, 1984Google Scholar
  21. 21.
    Stone, H.H., Mullins, R.J., Dunlop, W.E.: Extraperitoneal versus transperitoneal drainage of the intraabdominal abscess. Surg. Gynecol. Obstet.159:549, 1984Google Scholar
  22. 22.
    Jaques, P., Mauro, M., Safrit, H., Yankaskas, B., Piggott, B.: CT features of intraabdominal abscesses. Am. J. Roentgenol.146:1041, 1986Google Scholar
  23. 23.
    Olak, J., Christou, N.V., Stein, L.A.: Operative versus percutaneous drainage of intraabdominal abscesses: Comparison of morbidity and mortality. Arch. Surg.121:141, 1986Google Scholar
  24. 24.
    Bertel, C.K., van Heerden, J.A., Sheedy, II, P.F.: Treatment of pyogenic hepatic abscesses. Surgical vs. percutaneous drainage. Arch. Surg.121:554, 1986Google Scholar
  25. 25.
    Rifkin, M.D., Heffelfinger, D., Kurtz, A.B., Pasto, M.E., Baltarowich, O.H., Cole-Beuglet, C., Goldberg, B.B.: Outpatient therapy of intraabdominal abscesses following early discharge from the hospital. Radiology155:333, 1985Google Scholar
  26. 26.
    Wright, R.N., Saxena, A., Robin, A., Thomas, P.A.: Pulmonary mucormycosis (Phycomycetes) successfully treated by resection. Case reports. Ann. Thorac. Surg.29:166, 1980Google Scholar
  27. 27.
    Lang, E.K., Springer, R.M., Gloriosi, III, L.W., Cammarata, C.A.: Abdominal abscess drainage under radiologic guidance: Causes of failure. Radiology159:329, 1986Google Scholar
  28. 28.
    Mueller, P.R., Simeone, J.F., Butch, R.J., Saini, S., Stafford, S.A., Vici, L.G., Soto-Rivera, C., Ferrucci, Jr., J.T.: Percutaneous drainage of subphrenic abscess: A review of 62 patients. Am. J. Roentgenol.147:1237, 1986Google Scholar
  29. 29.
    Lameris, J.S., Braining, H.A., Jeekel, J.: Ultrasound-guided percutaneous drainage of intraabdominal abscesses. Br. J. Surg.74:620, 1987Google Scholar
  30. 30.
    Mueller, P.R., Ferrucci, Jr., J.T., Simeone, J.F., Butch, R.J., Wittenberg, J., White, M., Brown, A.S.: Lesser sac abscesses and fluid collections: Drainage by transhepatic approach. Radiology155:615, 1985Google Scholar
  31. 31.
    Kerlan, Jr., R.K., Jeffrey, Jr., R.B., Pogany, A.C., Ring, E.J.: Abdominal abscess with low-output fistula: Successful percutaneous drainage. Radiology155:73, 1985Google Scholar
  32. 32.
    Johnson, R.D., Mueller, P.R., Ferrucci, Jr., J.T., Dawson, S.L., Butch, R.J., Papanicolaou, N., van Sonnenberg E., Simeone, J.F., Wittenberg, J.: Percutaneous drainage of pyogenic liver abscesses. Am. J. Roentgenol.144:463, 1985Google Scholar
  33. 33.
    Aeder, M.I., Wellman, J.L., Haaga, J.R.: The role of surgical and percutaneous drainage in the treatment of abdominal abscesses. Arch. Surg.118:273, 1983Google Scholar
  34. 34.
    Neff, C.C., van Sonnenberg, E., Casola, G., Wittich, G.R., Hoyt, D.B., Halasz, N.A., Martini, D.J.: Diverticular abscesses: Percutaneous drainage. Radiology163:15, 1987Google Scholar
  35. 35.
    Mueller, P.R., Saini, S., Wittenberg, J., Simeone, J., Hahn, P.F., Steiner, E., Dawson, S.L., Butch, R.J., Stark, D.D., Ottinger, L.W., Rodkey, G.V., Bousquet, J.-C, Ferrucci, Jr., J.T.: Sigmoid diverticular abscesses: Percutaneous drainage as an adjunct to surgical resection in 24 cases. Radiology164:321, 1987Google Scholar
  36. 36.
    Jeffrey, Jr., R.B., Tolentino, C.S., Federle, M.P., Laing, F.C.: Percutaneous drainage of periappendiceal abscesses: Review of 20 patients. Am. J. Roentgenol.149:59, 1987Google Scholar
  37. 37.
    Nunez, Jr., D., Huber, J.S., Yrizarry, J.M.: Non-surgical drainage of appendiceal abscesses. Am. J. Roentgenol.146:587, 1986Google Scholar
  38. 38.
    van Sonnenberg, E., Wittich, G.R., Casola, G., Neff, C.C., Hoyt, D.B., Polansky, A.D., Keightley, A.: Periappendiceal abscesses: Percutaneous drainage. Radiology163:23, 1987Google Scholar
  39. 39.
    Safrit, H.D., Mauro, M.A., Jaques, P.F.: Percutaneous abscess drainage in Crohn's disease. Am. J. Roentgenol.148:859, 1987Google Scholar
  40. 40.
    van Sonnenberg, E., Wittich, G.R., Casola, G., Stauffer, A.E., Polansky, A.D., Coons, H.G., Cabrera, O.A., Gerver, P.S.: Complication pancreatic inflammatory disease: Diagnostic and therapeutic role of interventional radiology. Radiology155:335, 1985Google Scholar
  41. 41.
    Freeny, P.C., Lewis, G.P., Traverso, L.W., Ryan, J.A.: Infected pancreatic fluid collections: Percutaneous catheter drainage. Radiology167:435, 1988Google Scholar

Copyright information

© Société Internationale de Chirurgie 1990

Authors and Affiliations

  • John R. Haaga
    • 1
  1. 1.Department of RadiologyCase Western Reserve University, University Hospitals of ClevelandClevelandUSA

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