Semin intervent Radiol 2003; 20(3): 203-210
DOI: 10.1055/s-2004-815570
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

The Role of Percutaneous Abscess Drainage in Common Primary Enteric Diseases

Ross L. Titton
  • Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Boston, Massachusetts
Further Information

Publication History

Publication Date:
15 January 2004 (online)

ABSTRACT

In this article, we discuss the role of the interventional radiologist in the management of primary enteric abdominal and pelvic abscess. General principles regarding catheter selection, approaches to catheter placement, catheter management, and patient follow-up are discussed. We focus on patient management in the treatment of abdominal abscess related to diverticulitis, appendicitis, and Crohn's disease. The advantages of image-guided percutaneous abscess drainage, the technical success rates of percutaneous abscess drainage in specific primary enteric diseases, and the collaborative role of the interventional radiologist with the surgeon are stressed.

REFERENCES

  • 1 Gazelle G S, Mueller P R. Abdominal abscess: imaging and intervention.  Radiol Clin North Am . 1994;  32 913-932
  • 2 vanSonnenberg E, D'Agostino H B, Casola G, Halasz N A, Sanchez R B, Goodacre B W. Percutaneous abscess drainage: current concepts.  Radiology . 1991;  181 617-626
  • 3 Ferrucci J T, vanSonnenberg E. Intra-abdominal abscess: radiological diagnosis and treatment.  JAMA . 1981;  246 2728-2733
  • 4 vanSonnenberg E, Wittich G R, Goodacre B W, Casola G, D'Agostino H B. Percutaneous abscess drainage: update.  World J Surg . 2001;  25 362-372
  • 5 Mueller P R, vanSonnenberg E, Ferrucci Jr T J. Percutaneous drainage of 250 abdominal abscess and fluid collections. Part II: current procedural concepts.  Radiology . 1984;  151 343-347
  • 6 Ryan J M, Murphy B L, Boland G W, Mueller P R. Use of the transgluteal route for percutaneous abscess drainage in acute diverticulitis to facilitate delayed surgical repair.  AJR Am J Roentgenol . 1998;  170 1189-1193
  • 7 Gazelle G S, Haaga J R, Stellato T A, Gauderer M L, Plecha D T. Pelvic abscesses: CT-guided transrectal drainage.  Radiology . 1991;  181 49-51
  • 8 Bennett J D, Kozak R I, Taylor B M, Jory T A. Deep pelvic abscesses: transrectal drainage with radiological guidance.  Radiology . 1992;  185 825-828
  • 9 Jamieson D H, Chait P G, Filler R. Interventional drainage of appendiceal abscesses in children.  AJR Am J Roentgenol . 1997;  169 1619-1622
  • 10 Gervais D A, Hahn P F, O'Neill M J, Mueller P R. CT-guided transgluteal drainage of deep pelvic abscesses in children: selective use as an alternative to transrectal drainage.  AJR Am J Roentgenol . 2000;  175 1393-1396
  • 11 vanSonnenberg E, Ferrucci J T, Mueller P R, Wittenberg J, Simeone J F, Malt R A. Percutaneous radiographically guided catheter drainage of abdominal abscesses.  JAMA . 1982;  247 190-192
  • 12 Casola G, vanSonnenberg E, Neff C C, Saba R M, Withers C, Emarine C W. Abscesses in Crohn's disease: percutaneous drainage.  Radiology . 1987;  163 19-22
  • 13 Goldberg M A, Mueller P R, Saini S. et al . Importance of daily rounds by the radiologist after interventional procedures of the abdomen and chest.  Radiology . 1991;  180 767-770
  • 14 Stabile B E, Puccio E, vanSonnenberg E, Neff C C. Preoperative percutaneous drainage of diverticular abscesses.  Am J Surg . 1990;  159 99-105
  • 15 vanSonnenberg E, Mueller P R, Ferrucci Jr T J. Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: results, failures and complications.  Radiology . 1984;  151 337-341
  • 16 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
  • 17 Saini S, Mueller P R, Wittenberg J, Butch R J, Rodkey G V, Welch C E. Percutaneous drainage of diverticular abscess: an adjunct to surgical therapy.  Arch Surg . 1986;  121 475-478
  • 18 vanSonnenberg E, Wittich G R, Casola G. et al . Periappendiceal abscesses: percutaneous drainage.  Radiology . 1987;  163 23-26
  • 19 Jeffrey R B, Tolentino C S, Federle M P, Laing F C. Percutaneous drainage of periappendiceal abscesses: review of 20 patients.  AJR Am J Roentgenol . 1987;  149 59-62
  • 20 Lambiase R E, Cronan J J, Dorfman G S, Paolella L P, Haas R A. Percutaneous drainage of abscesses in patients with Crohn's disease.  AJR Am J Roentgenol . 1988;  150 1043-1045
  • 21 Safrit H D, Mauro M A, Jaques P F. Percutaneous abscess drainage in Crohn's disease.  AJR Am J Roentgenol . 1987;  148 859-862
  • 22 Jawhari A, Kamm M A, Ong C, Forbes A, Bartram C I, Hawley P R. Intra-abdominal and pelvic abscess in Crohn's disease: results of non-invasive and surgical management.  Br J Surg . 1998;  367-371
  • 23 Gervais D A, Hahn P F, O'Neill M J, Mueller P R. Percutaneous abscess drainage in Crohn's disease: technical success and short- and long-term outcomes during 14 years.  Radiology . 2002;  222 645-651
    >