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Percutaneous Ultrasound Guided Drainage of Abdominal Abscesses

Received: 9 August 2013    Accepted:     Published: 20 September 2013
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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.

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), 2024. Published by Science Publishing Group

Keywords

Abdominal Abscess, Drainage, Percutaneous, Ultrasound

References
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[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.
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[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.
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[13] Halasz NA, van Sonnenberg E. Drainage of intraabdominal abscesses. Tactics and choices. Am J Surg. 1983 Jul;146(1):112-5.
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  • 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

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    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

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    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

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  • @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}
    }
    

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  • 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
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    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
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    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  - 

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Author Information
  • Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Plateau State Nigeria

  • Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Plateau State Nigeria

  • Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Plateau State Nigeria

  • Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Plateau State Nigeria

  • Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Plateau State Nigeria

  • Department of Physiology, University of Jos, Jos Plateau State Nigeria

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