Abstract
The hospital courses of 9 patients with intraabdominal abscesses and Crohn's disease who underwent abscess drainage utilizing percutaneous techniques were reviewed. Percutaneous methods brought about resolution of fever, leukocytosis, and the abscess cavity in 8 patients. In 5 of these, definitive cure was achieved with percutaneous drainage. In 3, single-stage bowel surgery and fistulectomy were performed following resolution of the abscess cavities and improvement of clinical signs and symptoms. All patients had uncomplicated postoperative courses. Percutaneous drainage should be the initial drainage procedure in treating postoperative abscesses, and, when performed preoperatively, can diminish surgical morbidity.
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Altmeier WA, Culbertson WR, Fullen WD, Shook CD: Intraabdominal abscesses.Am J Surg 125:70, 1973
Edwards H: Crohn's disease: an inquiry into its nature and consequences.Ann R Coll Surg Engl 44:121, 1969
Greenstein AJ, Sacher DB, Pasternak BS, Janowitz HD: Reoperation and recurrence in Crohn's colitis and ileocolitis: crude and cumulative rates.N Engl J Med 293:685–690, 1975
Cope C: Conversion from small (0.018 inch) to large (0.038 inch) guide wires in percutaneous drainage procedures.AJR 138:170–171, 1982
Hawker PC, Givel JD, Keighley MR, Alexander-Williams J, Allen RN: Management of enterocutaneous fistulae in Crohn's disease.Gut 24:284–287, 1983
Heimann TM, Greenstein AJ, Mechanic L, Aufses AH: Early complications following surgical treatment for Crohn's disease.Ann Surg 201:494–498, 1985
Steinberg D, Cooke W, Alexander-Williams J: Abscess and fistulae in Crohn's disease.Gut 14:865–869, 1973
Burney RE, Gudjonsson B, Cahow CE, Spiro HM: Late appearance of intraabdominal abscess after total colectomy for inflammatory bowel disease.Arch Surg 114:195–197, 1979
Greenstein AJ, Sacher DB, Greenstein RJ, Janowitz HD, Aufses AH Jr: Intraabdominal abscess in Crohn's (ilio)colitis.Am J Surg 143:127–730, 1982
Nagler S, Poticha S: Intraabdominal abscess in regional enteritis.Am J Surg 137:350–354, 1979
Gerzof SG, Robbins AH, Johnson WC, Birkett DH, Nabseth DC: Percutaneous catheter drainage of abdominal abscesses: a five year experience.N Engl J Med 305:653–657, 1981
van Sonnenberg E, Ferrucci JT, Mueller PR: Percutaneous drainage of abscesses and fluid collections: techniques, results, applications.Diag Radiol 142:1–10, 1982
Martin EC, Fankuchen EI, Neff RA: Percutaneous drainage of abscesses: a report of 100 patients.Clin Radiol 35:9–11, 1984
Papanicolaou N, Mueller P, Ferrucci J, Dawson SL, Johnson RD, Simeone JF, Butch RJ, Wittenberg J: Abscess-fistula association: radiologic recognition and percutaneous management.AJR 143:811–815, 1984
McLean GK, Mackie JA, Freiman DB, Ring EJ: Enterocutaneous fistulae: interventional radiologic management.AJR 138:615–619, 1982
Olak J, Christou N, Stein L, Casola G, Meakins J: Operative vs percutaneous drainage of intraabdominal abscesses.Arch Surg 121:141–146, 1986
Safrit HD, Mauro MA, Jaques PF: Percutaneous abscess drainage in Crohn's disease.AJR 148:859–862, 1987
Casola G, van Sonnenberg E, Neff CC, Saba RM, Withers C, Emarine CW: Abscesses in Crohn's disease: percutaneous drainage.Radiology 163:19–22, 1987
Millward SF, Ramswak W, Fitzsimons P, Frost R, Tam P, Toi A: Percutaneous drainage of iliopsoas abscess in Crohn's disease.Gastrointest Radiol 11:289–290, 1986
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Doemeny, J.M., Burke, D.R. & Meranze, S.G. Percutaneous drainage of abscesses in patients with Crohn's disease. Gastrointest Radiol 13, 237–241 (1988). https://doi.org/10.1007/BF01889070
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DOI: https://doi.org/10.1007/BF01889070