Percutaneous abscess drainage

G. Percutaneous catheter drainage of amebic liver abscesses with and without intrahepatic biliary communication a comparative study. Europ. X Radiol. 1995 20 61-64... 

Peer, A., Strauss, S., Pik, A. Percutaneous catheter drainage of multiple pyogenic liver abscess a case report. Europ. X Radiol. 1990 ... 

Table 37.6. Specific major complications of percutaneous abscess and fluid drainage (compilation according to the Society of Interventional Radiology, based on published results (Bakal et al. 2003))...

Bakal CW etal. (2003) Qimlity improvement guidelines for adult percutaneous abscess and fluid drainage. J Vase In-terv Radiol 14 8223-8225... 

Cantasdemir M etal. (2003) Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscesses. Clin Radiol 58 811-815... 

Pancreatic abscess is a collection of pus that forms in the pancreas 4 to 6 weeks after acute pancreatitis. Pancreatic abscess is usually less life-threatening than pancreatic necrosis or pancreatic pseudocyst and can be managed with percutaneous drainage.5... 

Treatment regimens for intraabdominal infection can be judged as successful if the patient recovers from the infection without recurrent peritonitis or intraabdominal abscess and without the need for additional antimicrobials. A regimen can be considered unsuccessful if a significant adverse drug reaction occurs, reoperation or percutaneous drainage is necessary, or patient improvement is delayed beyond 1 or 2 weeks. 

Friedman, E., Biahut, R.J., Bender, M.D. Hepatic abscesses and funge-mia from Torulopsis glabrata. Successful treatment with percutaneous drainage and amphotericin B. J. Clin. Gastroenterol. 1987 9 711—715... 

Percutaneous drainage was initially attempted by A. F. S Mac-Fadzen et al. in 1953. It was later introduced into clinical routine by IR. Haaga et al. (1976) (s. tab. 7.2) using the CT-guided method. An improved technique was applied by S.G. Gerzof et al. (1981) and proved very successful in the treatment of liver abscesses. 

Percutaneous drainage may be limited by antelocated intestinal loops or by abscesses that are difficult to reach. Similarly, surgery is indicated following unsuccessful percutaneous drainage, in extensive cavernous or multifocal abscesses, tissue sequestration, formation of enteral fistula and viscous abscess contents as well as local recurrences. With abscess perforation or the existence of other purulent foci in the abdomen, surgical intervention is called for immediately. 

Bertel, C.K., van Heerden, JA., Sheedy, P.F. Treatment of pyogenic hepatic abscesses, surgical vs percutaneous drainage. Arch. Surg. 1986 121 554-558... 

Civardi, G., Filice, C., Caremani, M., Giorgio, A. Hepatic abscesses in immunocompromised patients ultrasonically guided percutaneous drainage. Gastrointest. Radiol. 1992 17 175-178... 

Gerzof, S.G., Johnson, W.C., Robbins, A.H., Nabseth, D.C. Intrahepa-tic pyogenic abscesses treatment by percutaneous drainage. Amer. J. Surg. 1985 149 487-494... 

Lambiase, R.E., Deyoe, L., Cronan, J.J., Dorfman, G.S. Percutaneous drainage of 335 consecutive abscesses results of primary drainage with 1-year follow-up. Radiology 1992 184 167-179... 

McDonald, M.I., Corey, G.R., Gallis, H.A., Durack, D.T. Single and multiple pyogenic liver abscesses. Natural history, diagnosis and treatment, with emphasis on percutaneous drainage. Medicine (Baltimore) 1984 63 291-302... 

Rajak, C.L., Gupta, S., Jain, S., Chawla, Y., Gulati, M., Suri, S. Percutaneous treatment of liver abscesses needle aspiration versus catheter drainage. Amer. J. Roentgenol. 1998 170 1035-1039... 

Wong, K.-R Percutaneous drainage of pyogenic liver abscesses. World J. Surg. 1990 14 492- 497... 

Thomas KT, Bream PR Jr, Berlin J, Meranze SG, Wright JK, Chari RS (2004) Use of percutaneous drainage to treat hepatic abscess after radiofrequency ablation of metastatic pancreatic adenocarcinoma. Am Surg 70 496-499... 

A small perinephric hematoma is common but active intervention is rarely necessary. However, an infected hematoma, resulting in a perirenal abscess, requires percutaneous drainage. 

Renal Abscess. Indications for percutaneous drainage of renal fluid collections are perinephric and large intra-renal abscesses, as well as small intrarenal abscesses not responding to antibiotic therapy. Another indication are infected urinomas, which are treated by a single percutaneous drainage, or in combination with additional nephrostomy when a communication between the uri-noma and the urinary collecting system persists. 

Hashimoto et al. (1995) reported 56 cases of pyogenic liver abscesses 39 and 10 patients underwent CT-guided drainage or simple aspiration without drainage, respectively. Six patients were treated with open operative drainage, while one patient with advanced cancer only received antibiotics. Five of 39 patients had to undergo operation after primary percutaneous drainage (87% success rate). Overall mortality rate was 12.5% (7/56). 

Cantasdemir et al. (2003) reported their experience with CT-guided percutaneous drainage in 21 patients with iliopsoas abscesses, which were technically successful in 21/22 cases. Nineteen and three procedures were performed with the Trocar and Seldinger tech-... 

Harisinghani MG et al. (2003) Transgluteal approach for percutaneous drainage of deep pelvic abscesses 154 cases. Radiology 228 701-705... 

Thanos L etal. (2002) Percutaneous CT-guided drainage of splenic abscess. AJR Am J Roentgenol 179 629-632... 

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