Abstract
Percutaneous drainage of abdomino-pelvic abscess or fluid collection has become in this last 30 years the standard of care in the treatment of abdominal abscesses. It can allow an effective drainage with minimal trauma to the tissues and lower morbidity and mortality rates.
Imaging guidance for drainage is most commonly performed with ultrasonography (US), computed tomography, or US and fluoroscopy combined.
Catheter insertion procedures include the trocar and Seldinger techniques.
Abscesses in locations that are difficult to access, such as those located deep in the pelvis, subphrenic regions, or epigastric region, can be drained by using the appropriate approach (transrectal, transgluteal, intercostal, or transhepatic).
Success rate of the percutaneous drainage in the treatment of abdominal abscess are high, and with adequate expertise in imaging-guided drainage techniques it is possible to successfully drain most abdominal infected collection and avoid surgery.
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Cinquantini, F., Piccinini, A., Montanari, N., Biscardi, A., Tugnoli, G., Di Saverio, S. (2017). Percutaneous Techniques for Management of Intra-abdominal Abscesses. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_21
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