scholarly journals CT-guided percutaneous drainage of abdominopelvic collections: a pictorial essay

2021 ◽  
Author(s):  
Massimo De Filippo ◽  
Sara Puglisi ◽  
Fabiano D’Amuri ◽  
Francesco Gentili ◽  
Ilaria Paladini ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Recent Literature ◽  
Mortality Rates ◽  
Invasive Treatment ◽  
Ct Guided ◽  
Pictorial Essay ◽  
Fluid Collections ◽  
Indications And Complications

AbstractCT-guided percutaneous drainage is a safe and effective procedure that allows minimally invasive treatment of abdominopelvic abscesses and fluid collections. This technique has become an alternative for surgery with lower morbility and mortality rates. In this pictorial essay, we aim at providing an overview of the technical approaches, the main clinical indications and complications of CT-guided percutaneous drainage, in order to provide a practical guide for interventional radiologists, with a review of the recent literature. The focus will be the CT-guidance, preferred when the interposition of viscera, vascular and skeletal structures, counteracts the ultrasound guidance.

scholarly journals Image-guided Percutaneous Drainage in the Pediatric Population: A Primer for Radiologists

2011 ◽  
Vol 1 ◽  
pp. 31 ◽  
Author(s):  
Keerthi Arani ◽  
Kiran Nandalur ◽  
Christina M Tucker ◽  
David A Bloom
Keyword(s):  
Minimally Invasive ◽  
Patient Outcomes ◽  
Percutaneous Drainage ◽  
Pediatric Population ◽  
Infectious Complications ◽  
Image Guided ◽  
Pictorial Essay ◽  
Invasive Method ◽  
Patient Preparation ◽  
The Common

Image-guided percutaneous drainage is an excellent minimally invasive method for dealing with infectious complications in the pediatric population. A thorough understanding of drainage procedures in children can often lead to improved patient outcomes. Indications for percutaneous drainage will be reviewed, including abscesses related to appendicitis, post-surgical abscess formation, and abscesses related to Crohn's disease. This pictorial essay will help the radiologist better understand the common etiologies of abscesses in children that may require percutaneous drainage, the special considerations for catheter placement, patient preparation, and anesthesia or sedation issues unique to the pediatric population.

scholarly journals Minimally invasive treatment of pediatric head and neck dermoids: percutaneous drainage and radiofrequency coblation

2019 ◽  
Vol 49 (9) ◽  
pp. 1222-1228 ◽  
Author(s):  
Madeline I. Foo ◽  
Leah E. Braswell ◽  
Lacey J. Lubeley ◽  
James W. Murakami
Keyword(s):  
Minimally Invasive ◽  
Head And Neck ◽  
Percutaneous Drainage ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

scholarly journals Adjuvant urokinase: percutaneous drainage of post lower segment cesarean section intra-abdominal abscess

2019 ◽  
Vol 8 (5) ◽  
pp. 2125
Author(s):  
Shweta Avinash Khade ◽  
Balaji Jadhav ◽  
Preeti Meena
Keyword(s):  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Fluid Collection ◽  
Bleeding Complications ◽  
Abdominal Abscess ◽  
Catheter Drainage ◽  
Safe Alternative ◽  
Lower Segment Cesarean Section ◽  
Fluid Collections

The mortality in abdominal abscess is high, however the outcome has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, and site.  The single abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters.  Percutaneous drainage provides an effective and safe alternative to more invasive surgical drainage but the success rate is lower for abscesses that have septa and are multilocular. Several clinical and in vitro studies suggest urokinase may be useful in such cases. To the knowledge, however, there has been no case of post LSCS intra-abdominal abscess in which intracavitary urokinase was administered. Therefore, we report a case of post LSCS multiseptated intra-abdominal abscess occurring in a 21-year-female. Conventional percutaneous tube drainage failed, but the use of transcatheter intracavitary urokinase was successful.  Our results showed no significant change in hematologic studies and no bleeding complications. Intracavitary urokinase can be given safely during percutaneous drainage of an abscess, with no associated bleeding complications or changes in coagulation parameters.

scholarly journals Two Cases of Strictures after Percutaneous CT-Guided Radiofrequency Ablation for Renal Cell Carcinoma

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ortwin Heißler ◽  
Stephan Seklehner ◽  
Maximilian Fingernagel ◽  
Paul F. Engelhardt ◽  
Claus Riedl
Keyword(s):  
Renal Cell Carcinoma ◽  
Urinary Tract ◽  
Radiofrequency Ablation ◽  
Minimally Invasive ◽  
Complication Rate ◽  
Thermal Injury ◽  
Upper Urinary Tract ◽  
Percutaneous Radiofrequency Ablation ◽  
Invasive Treatment ◽  
Ct Guided

Percutaneous radiofrequency ablation is a safe and effective minimally invasive treatment option in selected patients with T1a tumors of the kidney with a low complication rate. We describe two cases that developed the rare but severe complication of thermal injury-induced strictures of the upper urinary tract and its consecutive management.

scholarly journals Duodenal perforation after percutaneous fluid drainage, a rare event: a case report

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Miguel A Moyón ◽  
Gabriel A Molina ◽  
Braulio Aaron Crisanto ◽  
F Xavier Moyón ◽  
Andrés Cárdenas ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Bowel Perforation ◽  
Rare Event ◽  
Daily Practice ◽  
Surgical Instruments ◽  
Duodenal Perforation ◽  
Ct Guided ◽  
Patient’S Outcome ◽  
Fluid Collections ◽  
Duodenal Perforations

Abstract Duodenal perforations can be caused by surgical instruments during operations. These injuries can go initially unnoticed and lead to problematic complications. While uncommon, bowel perforation after percutaneous fluid drainage can severely impact the patient’s outcome. These can occur from equipment used for image-guided percutaneous drainage, a technique that has changed the way surgeons handle postoperative fluid collections and has become daily practice. Prompt recognition and timely treatment of these types of complications can minimize the consequences of this dreaded scenario. We present the case of a 29-year-old male, for whom an intra-abdominal collection was detected after laparoscopic cholecystectomy. CT-guided percutaneous drainage was performed, during which the catheter inadvertently punctured the duodenum. Surgical consultation was required and, since the patient remained asymptomatic, conservative management of the duodenal perforation was accomplished without complications. On follow-ups, the patient is doing well.

scholarly journals Hybrid management of acute severe necrotizing biliary pancreatitis complicated by abdominal sepsis and necrotic and fl uid collections in the abdominal cavity

2020 ◽  
Vol 174 (2) ◽  
pp. 99-104
Author(s):  
D. V. Mizgirev ◽  
A. M. Epshtein ◽  
S. S Pozdeev ◽  
V. N. Pozdeev ◽  
L. A. Neledova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Necrotizing Pancreatitis ◽  
Abdominal Sepsis ◽  
Biliary Pancreatitis ◽  
Invasive Treatment ◽  
Fluid Collections ◽  
Hybrid Management

The article presents a clinical case of successful hybrid minimally invasive treatment of acute severe biliary necrotizing pancreatitis complicated by acute infected necrotic and fluid collections, abdominal sepsis. Endoscopic transgastric sequestrectomy in combination with polypositional percutaneous drainage and staged sanitation and drainage interventions allowed to avoid the traditional surgical treatment.

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