Diseases of the Colon & Rectum

, Volume 40, Issue 9, pp 1009–1013 | Cite as

Computed tomography-guided percutaneous abscess drainage in intestinal disease

Factors associated with outcome
  • Andrea Bernini
  • Michael P. Spencer
  • W. Douglas Wong
  • David A. Rothenberger
  • Robert D. Madoff
Original Contributions


PURPOSE: This study was designed to assess the efficacy of computed tomography-guided percutaneous abscess drainage in intestinal disease. METHODS: Retrospective chart review of patients who underwent percutaneous abscess drainage for complications of intestinal disease with or without surgery between 1990 and 1994. RESULTS: Eighty-two patients with 111 abscesses were identified. Causes of abscess included anastomotic leaks (35 percent), postoperative complications without leak (30 percent), and diverticular disease (23 percent). Complete success (no surgery necessary) was achieved in 53 of 82 patients (65 percent). Nine patients (11 percent) who underwent interval surgery were classified as having partial successes. Twenty-six of 26 (100 percent) well-defined unilocular collections containing pus were successfully drained. Complex abscesses (loculated, poorly defined, multiple, associated with fistula, draining feces) were successfully drained in 35 of 55 patients (63 percent). Success rates varied inversely with the number of complicating factors present. Apache II scores of 15 or higher were associated with decreased success rates. CONCLUSION: Percutaneous abscess drainage is a highly successful technique for treatment of patients with intra-abdominal infection related to intestinal disease. Although several factors are associated with decreased success rates and multiple complicating factors combine to reduce success rates, no identifiable factor or combination of factors preclude the possibility of a successful outcome.

Key words

Abscess Computed tomography-guided drainage Complications Anastomotic leak 


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Copyright information

© American Society of Colon and Rectal Surgeons 1997

Authors and Affiliations

  • Andrea Bernini
    • 1
  • Michael P. Spencer
    • 1
  • W. Douglas Wong
    • 1
  • David A. Rothenberger
    • 1
  • Robert D. Madoff
    • 1
  1. 1.Division of Colon and Rectal Surgery, the Department of SurgeryUniversity of Minnesota Medical SchoolMinneapolis

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