Intraabdominal abscesses are common surgical pathologies that result from a myriad of causes and require a high index of suspicion to diagnose. Majority of the patient’s present critically ill requiring surgical drainage. The traditional open surgical drainage is associated with a high morbidity and mortality. Percutaneous ultrasound guided drainage which entails either needle aspirations or image guided catheter placements for a thick abscess is a suitable alternative to open surgical drainage. This study was aimed at evaluating our experience with ultrasound guided percutaneous drainage of intraabdominal abscesses in a Teaching hospital in north central Nigeria. Methodology Consecutive patients diagnosed to have intraperitoneal abscesses in a general surgery unit at Jos University Teaching Hospital over a 24 month period were studied. Results Twenty four patients were involved in this study. There were 14 males and ten females giving a male to female ratio (M: F =1.4:1). The mean age of the study population was 40+/- 19.3 with age range of 10-70years. Ten patients (41.7%) had abscesses in the liver, 6(25%) in the pelvis and 5(20.8%) were sub-phrenic in location, 3(12.5%) were psoas abscesses. Fifteen patients (62.5%) had their abscesses drained by needle aspiration while the remaining 9 (37.5%) were drained through placement of Foley’s catheters. There was no mortality in this study. In conclusion, percutaneous ultrasound guided drainage of abdominal abscesses is a viable alternative to open surgical drainage.
Published in | International Journal of Medical Imaging (Volume 1, Issue 2) |
DOI | 10.11648/j.ijmi.20130102.12 |
Page(s) | 23-25 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Abdominal Abscess, Drainage, Percutaneous, Ultrasound
[1] | Kim NR, Chung DH, Lee WS, Cho HY. Intraabdominal abscess caused by actinomycosis in a patient with mesenteric fibromatosis of the small intestine: report of a case. Surg Today. 2012 Nov;42(11):1091-5. |
[2] | Shih YJ, Hsu KF, Yu JC, Chan DC, Hsieh CB. Synchronous hepatocellular carcinoma and sigmoid colon metastasis presenting as liver and intra-abdominal abscesses. Acta Gastroenterol Belg. 2012 Jun;75(2):278-9. |
[3] | Ong GY, Changchien CS, Lee CM, Wang JH, Tung HD, Chuah SK, et al. Liver abscess complicating transcatheter arterial embolization: a rare but serious complication. A retrospective study after 3878 procedures. Eur J Gastroenterol Hepatol. 2004 Aug;16(8):737-42. |
[4] | Montgomery RS, Wilson SE. Intraabdominal abscesses: image-guided diagnosis and therapy. Clin Infect Dis. 1996 Jul;23(1):28-36. |
[5] | Jung HG, Kim do H, Lee CH. [A case of subcapsular liver abscess secondary to perforating ulcer of gastric cancer]. Korean J Gastroenterol. 2010 Aug;56(2):109-13. |
[6] | Gerzof SG, Robbins AH, Birkett DH, Johnson WC, Pugatch RD, Vincent ME. Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and computed tomography. AJR Am J Roentgenol. 1979 Jul;133(1):1-8. |
[7] | Turunc T, Demiroglu YZ, Colakoglu S. [Retrospective evaluation of 15 cases with psoas abscesses]. Mikrobiyol Bul. 2009 Jan;43(1):121-5. |
[8] | Cerullo G, Marrelli D, Roviello F, Rampone B, Ferrari FS, Vigni F, et al. Treatment of the intraabdominal abscesses through percutaneous ultrasound-guided drainage in oncological patients: Clinical and microbiological data. Surg Endosc. 2008 May;22(5):1200-5. |
[9] | Bailey CM, Thompson-Fawcett MW, Kettlewell MG, Garrard C, Mortensen NJ. Laparostomy for severe intra-abdominal infection complicating colorectal disease. Dis Colon Rectum. 2000 Jan;43(1):25-30. |
[10] | vanSonnenberg E, Ferrucci JT, Jr., Mueller PR, Wittenberg J, Simone JF, Malt RA. Percutaneous radiographically guided catheter drainage of abdominal abscesses. JAMA. 1982 Jan 8;247(2):190-2. |
[11] | Spencer J. What is needed from imaging? The surgeon's point of view. Scand J Gastroenterol Suppl. 1994;203:1-4. |
[12] | Stanley P, Atkinson JB, Reid BS, Gilsanz V. Percutaneous drainage of abdominal fluid collections in children. AJR Am J Roentgenol. 1984 Apr;142(4):813-6. |
[13] | Halasz NA, van Sonnenberg E. Drainage of intraabdominal abscesses. Tactics and choices. Am J Surg. 1983 Jul;146(1):112-5. |
[14] | Jahne J, Meyer HJ, Grote R, Milbradt H, Pichlmayr R. "Conservative" treatment of intra-abdominal complications after total gastrectomy with interventional radiological techniques. Surg Endosc. 1989;3(1):16-20. |
[15] | Braun B, Dormeyer HH. Ultrasonically guided fine needle aspiration biopsy of hepatic and pancreatic space-occupying lesions and percutaneous abscess drainage. Klin Wochenschr. 1981 Jun 15;59(12):707-12. |
[16] | Bozkurt T, Butsch B, Langer M, Lux G. [Percutaneous sonographically guided fine-needle puncture and drainage of pyogenic abscesses]. Dtsch Med Wochenschr. 1991 Dec 20;116(51-52):1943-7. |
APA Style
Misauno M. A, Sule A. Z, Ale A. F, Isichei M. W, Ismaila B. O, et al. (2013). Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses. International Journal of Medical Imaging, 1(2), 23-25. https://doi.org/10.11648/j.ijmi.20130102.12
ACS Style
Misauno M. A; Sule A. Z; Ale A. F; Isichei M. W; Ismaila B. O, et al. Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses. Int. J. Med. Imaging 2013, 1(2), 23-25. doi: 10.11648/j.ijmi.20130102.12
AMA Style
Misauno M. A, Sule A. Z, Ale A. F, Isichei M. W, Ismaila B. O, et al. Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses. Int J Med Imaging. 2013;1(2):23-25. doi: 10.11648/j.ijmi.20130102.12
@article{10.11648/j.ijmi.20130102.12, author = {Misauno M. A and Sule A. Z and Ale A. F and Isichei M. W and Ismaila B. O and Ibilibor C.}, title = {Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses}, journal = {International Journal of Medical Imaging}, volume = {1}, number = {2}, pages = {23-25}, doi = {10.11648/j.ijmi.20130102.12}, url = {https://doi.org/10.11648/j.ijmi.20130102.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20130102.12}, abstract = {Intraabdominal abscesses are common surgical pathologies that result from a myriad of causes and require a high index of suspicion to diagnose. Majority of the patient’s present critically ill requiring surgical drainage. The traditional open surgical drainage is associated with a high morbidity and mortality. Percutaneous ultrasound guided drainage which entails either needle aspirations or image guided catheter placements for a thick abscess is a suitable alternative to open surgical drainage. This study was aimed at evaluating our experience with ultrasound guided percutaneous drainage of intraabdominal abscesses in a Teaching hospital in north central Nigeria. Methodology Consecutive patients diagnosed to have intraperitoneal abscesses in a general surgery unit at Jos University Teaching Hospital over a 24 month period were studied. Results Twenty four patients were involved in this study. There were 14 males and ten females giving a male to female ratio (M: F =1.4:1). The mean age of the study population was 40+/- 19.3 with age range of 10-70years. Ten patients (41.7%) had abscesses in the liver, 6(25%) in the pelvis and 5(20.8%) were sub-phrenic in location, 3(12.5%) were psoas abscesses. Fifteen patients (62.5%) had their abscesses drained by needle aspiration while the remaining 9 (37.5%) were drained through placement of Foley’s catheters. There was no mortality in this study. In conclusion, percutaneous ultrasound guided drainage of abdominal abscesses is a viable alternative to open surgical drainage.}, year = {2013} }
TY - JOUR T1 - Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses AU - Misauno M. A AU - Sule A. Z AU - Ale A. F AU - Isichei M. W AU - Ismaila B. O AU - Ibilibor C. Y1 - 2013/09/20 PY - 2013 N1 - https://doi.org/10.11648/j.ijmi.20130102.12 DO - 10.11648/j.ijmi.20130102.12 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 23 EP - 25 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20130102.12 AB - Intraabdominal abscesses are common surgical pathologies that result from a myriad of causes and require a high index of suspicion to diagnose. Majority of the patient’s present critically ill requiring surgical drainage. The traditional open surgical drainage is associated with a high morbidity and mortality. Percutaneous ultrasound guided drainage which entails either needle aspirations or image guided catheter placements for a thick abscess is a suitable alternative to open surgical drainage. This study was aimed at evaluating our experience with ultrasound guided percutaneous drainage of intraabdominal abscesses in a Teaching hospital in north central Nigeria. Methodology Consecutive patients diagnosed to have intraperitoneal abscesses in a general surgery unit at Jos University Teaching Hospital over a 24 month period were studied. Results Twenty four patients were involved in this study. There were 14 males and ten females giving a male to female ratio (M: F =1.4:1). The mean age of the study population was 40+/- 19.3 with age range of 10-70years. Ten patients (41.7%) had abscesses in the liver, 6(25%) in the pelvis and 5(20.8%) were sub-phrenic in location, 3(12.5%) were psoas abscesses. Fifteen patients (62.5%) had their abscesses drained by needle aspiration while the remaining 9 (37.5%) were drained through placement of Foley’s catheters. There was no mortality in this study. In conclusion, percutaneous ultrasound guided drainage of abdominal abscesses is a viable alternative to open surgical drainage. VL - 1 IS - 2 ER -