Diagnosis of Abdominal and Pelvic Abscesses by Ultrasound and Gallium Scanning
The diagnosis of abdominal and pelvic abscesses still present a recurrent clinical problem, especially in the post-operative patient. Morbidity and mortality is directly related to the delay in diagnosis and treatment.1 Current techniques used for the diagnosis of abscesses include conventional radiological opacification procedures. These procedures, however, only imply the presence of a space-occupying mass, and are therefore nonspecific and frequently equivocal. Isotope techniques including liver/spleen, liver/lung and 67gallium citrate scans are widely used for the diagnosis of liver, subphrenic and other abdominal abscesses. 67gallium has been widely advocated as a successful modality for the demonstration of abscesses, and in some reports have been found to be superior to ultrasound.2 Ultrasound has also been long used for the diagnosis of abscesses with an accuracy rate varying between 61% and 96%.3,4,5 We report here the first large series of abscesses evaluated by grey-scale ultrasound techniques. Approximately 10% of these patients also had gallium studies, and the results are presented here.
KeywordsPelvic Inflammatory Disease Pelvic Abscess Abscess Cavity Abdominal Abscess Subphrenic Abscess
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