The role of image guided percutaneous drainage in multidisciplinary management of necrotizing pancreatitis

AbstractAcute pancreatitis is one of the major gastrointestinal conditions that lead to around 300,000 hospital admissions per year in the United States. While mild inflammation of the pancreas is often managed conservatively, progression of the disease process to necrosis significantly increases the overall morbidity and mortality and often requires surgical or other interventional techniques for management. The purpose of this review is to describe the role of percutaneous drainage for the management of complicated pancreatitis.

Download Full-text

Pneumonia-related pneumatoceles in infants: CT assessment and image-guided treatment

BJR|case reports ◽

10.1259/bjrcr.20210191 ◽

2021 ◽

Author(s):

Elisa Mercanzin ◽

Pietro Andrea Bonaffini ◽

Antonino Barletta ◽

Francesco Stanco ◽

Clarissa Valle ◽

...

Keyword(s):

Percutaneous Drainage ◽

Potential Role ◽

Scientific Literature ◽

Case Series ◽

Consensus Guidelines ◽

Successful Management ◽

Image Guided ◽

Life Threatening

Lung pneumatoceles represent a potential life-threatening complication of pneumonia in infants, especially when they do not spontaneously reabsorb. In this category of patients, scientific literature lacks and no consensus guidelines for management have been proposed. Imaging plays a key role in the diagnosis, characterization, and follow-up of pneumatoceles. Image-guided percutaneous drainage can be considered a safe and effective treatment in children, although it is not widely recognized in newborns and infants. The aim of this case series review is to describe the main CT features of complicated or persistent pneumatoceles in infants and to highlight the potential role of image-guided percutaneous drainage as an effective approach for their treatment. Successful management of four infants affected by pneumonia-related pneumatoceles with percutaneous drainage is presented.

Download Full-text

Gynaecological cancers

Oxford Textbook of Oncology ◽

10.1093/med/9780199656103.003.0044 ◽

2016 ◽

pp. 576-601

Author(s):

Richard Pötter ◽

Shujuan Liu ◽

Bolin Liu ◽

Sebastien Gouy ◽

Sigurd Lax ◽

...

Keyword(s):

Combined Treatment ◽

Primary Treatment ◽

Cytotoxic Chemotherapy ◽

Multidisciplinary Management ◽

Neoadjuvant Radiotherapy ◽

Concomitant Radiochemotherapy ◽

Image Guided ◽

Therapeutic Procedures ◽

Complex Cases

This chapter covers gynaecological cancers and includes information on cervical, endometrial, ovarian, and vaginal and vulval cancers. It also covers epidemiology, molecular biology and pathology. Surgical management focuses on risk adapted diagnostic and therapeutic procedures and includes laparoscopic lymph node and tumour surgery. The role of primary, adjuvant or neoadjuvant radiotherapy is described consisting of external beam therapy or (image guided) brachytherapy or combined treatment, also as concomitant radiochemotherapy. Medical management is outlined comprising cytotoxic chemotherapy, hormonal therapy and targeted drugs with their different role in neoadjuvant, adjuvant and primary treatment. Multidisciplinary management is described for complex cases of cervix, endometrium and ovarian cancer.

Download Full-text

What is the role of percutaneous drainage for treatment of amebic abscesses of the liver?

American Journal of Roentgenology ◽

10.2214/ajr.165.4.7676948 ◽

1995 ◽

Vol 165 (4) ◽

pp. 1005-1006 ◽

Cited By ~ 5

Author(s):

V G McDermott

Keyword(s):

Percutaneous Drainage

Download Full-text

Safety and efficacy of early image-guided percutaneous interventions in acute severe necrotizing pancreatitis: A single-center retrospective study

Indian Journal of Gastroenterology ◽

10.1007/s12664-019-00969-0 ◽

2019 ◽

Vol 38 (6) ◽

pp. 480-487 ◽

Cited By ~ 1

Author(s):

Amar Mukund ◽

Nishant Singla ◽

Vikram Bhatia ◽

Asit Arora ◽

Yashwant Patidar ◽

...

Keyword(s):

Retrospective Study ◽

Necrotizing Pancreatitis ◽

Single Center ◽

Safety And Efficacy ◽

Image Guided ◽

Percutaneous Interventions ◽

Early Image

Download Full-text

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

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.82243 ◽

2011 ◽

Vol 1 ◽

pp. 31 ◽

Cited By ~ 2

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.

Download Full-text