Percutaneous drainage of a parotid gland abscess under contrast-enhanced ultrasound guidance: A case report

A parotid gland abscess is uncommon and if not responding to conservative management, requires surgical intervention. However, surgery is invasive with the risk of complicating facial nerve damage and possible poor cosmetic outcome. We present a case of a parotid gland abscess in association with an underlying Warthin’s tumour requiring percutaneous drainage, as patient co-morbidity precluded a safe surgical approach. Percutaneous drainage was aided by a contrast-enhanced ultrasound examination, which permitted delineation of the fluid aspects of the collection from the underlying tumour and allowed successful percutaneous ultrasound-guided aspiration without complication.

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Highlights of the development in ultrasound during the last 70 years: A historical review

Acta Radiologica ◽

10.1177/02841851211050859 ◽

2021 ◽

pp. 028418512110508

Author(s):

Michael Bachmann Nielsen ◽

Stinne Byrholdt Søgaard ◽

Sofie Bech Andersen ◽

Bjørn Skjoldbye ◽

Kristoffer Lindskov Hansen ◽

...

Keyword(s):

Ultrasound Guidance ◽

Historical Review ◽

Medical Specialty ◽

Handheld Devices ◽

Interventional Ultrasound ◽

Contrast Enhanced Ultrasound ◽

Ultrasound Guided ◽

Contrast Enhanced ◽

Minimum Requirements ◽

Guidelines And Recommendations

This review looks at highlights of the development in ultrasound, ranging from interventional ultrasound and Doppler to the newest techniques like contrast-enhanced ultrasound and elastography, and gives reference to some of the valuable articles in Acta Radiologica. Ultrasound equipment is now available in any size and for any purpose, ranging from handheld devices to high-end devices, and the scientific societies include ultrasound professionals of all disciplines publishing guidelines and recommendations. Interventional ultrasound is expanding the field of use of ultrasound-guided interventions into nearly all specialties of medicine, from ultrasound guidance in minimally invasive robotic procedures to simple ultrasound-guided punctures performed by general practitioners. Each medical specialty is urged to define minimum requirements for equipment, education, training, and maintenance of skills, also for medical students. The clinical application of contrast-enhanced ultrasound and elastography is a topic often seen in current research settings.

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CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele

Case Reports in Urology ◽

10.1155/2012/919215 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Stefano Di Domenico ◽

Valentina Patti ◽

Federico Fazio ◽

Elisabetta Moggia ◽

Iris Fontana ◽

...

Keyword(s):

Percutaneous Drainage ◽

Ultrasound Examination ◽

Fluid Collection ◽

Ultrasound Guided ◽

Contrast Enhanced ◽

Renal Vessels ◽

Conventional Ultrasound ◽

Mutual Relations ◽

Inferior Limb ◽

Renal Hilus

After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.

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