The Iraqi Board for Medical Specializations
  • Register
  • Login

Iraqi Postgraduate Medical Journal

Notice

As part of Open Journals’ initiatives, we create website for scholarly open access journals. If you are responsible for this journal and would like to know more about how to use the editorial system, please visit our website at https://ejournalplus.com or
send us an email to info@ejournalplus.com

We will contact you soon

  1. Home
  2. Volume 10, Issue 3
  3. Authors

Current Issue

By Issue

By Subject

Keyword Index

Author Index

Indexing Databases XML

About Journal

Aims and Scope

Editorial Board

Advisory Board

Editorial Staff

Publication Ethics

Indexing and Abstracting

News

Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections

    Nawar Abdul Munim Ali Zamil Mushettet Talib A.Majid Balsam Salim Atto

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 3, Pages 367-373

  • Show Article
  • Download
  • Cite
  • Statistics
  • Share

Abstract

ABSTRACT:
BACKGROUND :
Percutaneous image-guided drainage is the first-line treatment for infected or symptomatic fluid collections in the abdomen and pelvis, in the absence of indications for immediate surgery and considered potentially a life saving therapeutic surgical procedure in high risk patients .
OBJECTIVE:
To evaluate the efficacy of US-guided percutaneous drainage in treating intra-abdominal abscesses and fluid collections
PATIENTS & METHOD :
Patients with intra-abdominal collections underwent percutaneous drainage under ultrasound (US) guide were studied prospectively in the Gastro-enterology and hepatology hospital in baghdad from April 2008-Sept 2009. The procedure done under local anesthesia & aseptic technique, needle access obtained before placing the catheter .Peritoneal Dialyses catheter was used in our study.
RESULTS :
There were 43 patients (29 females and 14 males ), Age ranging 8-67 years. The collections diagnosed basically on US in 33 patients ( 76.7% ) & US and CT-scanning needed in 10 (23.3%). These collections were post-operative in 36 patients (83.7%) and primary (spontaneous) in 7 (16.3%)The post-operative cases were as follow:18 patients (50 % ) operated on for gall bladder diseases, 6 (16.7 %) for abdominal trauma ,4 ( 11% ) for acute abdomen , 4 ( 11% )for Hydatid cyst, 2 (5.6 %) colonic surgery and one patient (2.8 %) operated on for acute appendicitis and one (2.8%) after ERCP. Twenty three (53.5 %) of the collections were single & 20 (46.5%) were multiple. The single collections were located as: Right Hypochondrial(Right subphrenic,Subhepatic and Hepatic) in 15 patients (65.2 %), Epigastric in 4(17.4 %),2 of them were pancreatic, Pelvic in 3 (13 % ) , and paracolic in one patient ( 4.4 % ). Six patients(14 %) have hepatic collections, 4 of which were following Hydatid Cyst Surgery, the remainder were Pyogenic hepatic abscesses. Material drained was Bile in 24 patients ( 56 %),Pus in 17(39.5 %) & blood and urine in one patient (2.25 %) for both, Fourteen patients (32.6%) underwent more than single drainage procedure, nine of them (64.3 % ) twice , three (21.4 %) three times& two (14.3% )more than 3 re-interventions.
The operations has been avoided in 26 patients (60.5 %) but was not avoidable in 17 ( 39.5% ), because of the ultimate need of the condition for operation in 15 patients (88 % )and failure of drainage in 2 patients ( 4.7 %)
CONCLUSION:
US guided drainage is an efficacious therapy for intra-abdominal collections and have become the treatment of choice for a wide variety of collections. It helps to obviate or delay a major surgery.
Keywords:
    percutaneous drainage abdominal collections ultrasound
  • PDF
  • XML
(2011). Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections. Iraqi Postgraduate Medical Journal, 10(3), 367-373.
Nawar Abdul Munim; Ali Zamil Mushettet; Talib A.Majid; Balsam Salim Atto. "Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections". Iraqi Postgraduate Medical Journal, 10, 3, 2011, 367-373.
(2011). 'Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections', Iraqi Postgraduate Medical Journal, 10(3), pp. 367-373.
Ultrasound Guided Percutaneous Drainage of Intra-Abdominal Abscesses and Fluid Collections. Iraqi Postgraduate Medical Journal, 2011; 10(3): 367-373.
  • RIS
  • EndNote
  • BibTeX
  • APA
  • MLA
  • Harvard
  • Vancouver
  • Article View: 160
  • PDF Download: 55
  • LinkedIn
  • Twitter
  • Facebook
  • Google
  • Telegram
  • Home
  • Glossary
  • News
  • Aims and Scope
  • Privacy Policy
  • Sitemap
Powered by eJournalPlus