The usefulness of CT guided drainage of abscesses caused by retained appendicoliths
| Autor: | P. Ridgeway, Orla Buckley, Tony Geoghegan, Aisling Snow, William C. Torreggiani, E. Colhoun |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Radiography Interventional Calculi Medicine Cecal Diseases Humans Radiology Nuclear Medicine and imaging Abscess Laparoscopy Child Retrospective Studies medicine.diagnostic_test business.industry Abdominal Abscess Intra-abdominal Abscess General Medicine Middle Aged medicine.disease Appendicitis Surgery Endoscopy medicine.anatomical_structure Treatment Outcome Abdomen Drainage Female Radiology business Tomography X-Ray Computed |
| Zdroj: | European journal of radiology. 60(1) |
| ISSN: | 0720-048X |
| Popis: | Objectives To determine the utility of percutaneous computed tomography (CT) guided drainage of abscesses formed secondary to retained appendicoliths. Materials and methods A retrospective review was conducted over a 5-year period to identify patients who underwent CT guided drainage of abscesses related to retained appendicoliths. Inclusion criteria were a history of prior proven appendicitis treated by laparoscopic appendicectomy, identification of a post-operative abscess related to a visualised retained appendicolith and initial treatment by CT guided drainage. Data regarding initial technical success as well as long-term outcome was recorded in each case. Results In total, five patients were identified who underwent CT guided abscess drainage related to retained appendicoliths. There were three males and two females (age range 12–54 years). Initial drainage under CT guidance was technically successful in all cases with successful catheter placement and resolution of the abscess cavity. In all five cases however, there was recurrence of abscess formation following catheter removal. In one case, a second attempt with CT guided drainage was performed. Again this was initially successful with abscess recurrence following catheter removal. In all five cases, formal surgical drainage with removal of retained appendicolith resulted in a successful outcome. Conclusion CT guided percutaneous drainage of intra abdominal abscess secondary to retained appendicoliths is only successful in the short term. Formal surgical drainage and removal of the appendicolith is required for long-term success. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect