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Post-surgical abscess

Bergland TAB - MedPix (2001)

View Article: MedPix Image - MedPix Topic

Affiliation: Tripler Army Medical Center

ABSTRACT

Over 75% of abdominal abscesses occur subsequent to abdominal surgery. While abscesses may sometimes be seen on abdominal plain films, computed tomography is a more sensitive modality for viewing them. Additionally, detection of a retroperitoneal or pancreatic abscess is often possible at an earlier stage with CT than with ultrasound. On CT, an abdominal abscess appears as a gas-containing, loculated fluid collection with a rim of enhancement outside the alimentary canal or within a solid organ. Intravenous contrast is helpful in differentiating normal parenchyma and abscess contents. The five accompanying CT images show a developing pelvic abscess in a patient who was approximately one week post surgery for a transabdominal hysterectomy (TAH), bilateral salpingoophorectomy (BSO), and Burch procedure. The patient was febrile with leukocytosis. There are two separate axial views, one each on POD#7 and POD#8. The fifth view is a coronal reconstruction, demonstrating that the lesions seen on the two separate axial views are parts of the same abscess. If the fluid collection is well-visualized on CT and allows safe percutaneous access, treatment with percutaneous catheter drainage is indicated. Advantages of this method of treatment over surgery include a lower rate of morbidity, shorter hospital stay, and lower expense.

No MeSH data available.


Ring enhancing fluid collection at the level of the iliac crests adjacent to the right psoas in a febrile female POD#7 s/p TAH/BHO/Burch
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MPX2654_synpic1584: Ring enhancing fluid collection at the level of the iliac crests adjacent to the right psoas in a febrile female POD#7 s/p TAH/BHO/Burch


Post-surgical abscess

Bergland TAB - MedPix (2001)

Ring enhancing fluid collection at the level of the iliac crests adjacent to the right psoas in a febrile female POD#7 s/p TAH/BHO/Burch
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2654&req=5

MPX2654_synpic1584: Ring enhancing fluid collection at the level of the iliac crests adjacent to the right psoas in a febrile female POD#7 s/p TAH/BHO/Burch

View Article: MedPix Image - MedPix Topic

Affiliation: Tripler Army Medical Center

ABSTRACT

Over 75% of abdominal abscesses occur subsequent to abdominal surgery. While abscesses may sometimes be seen on abdominal plain films, computed tomography is a more sensitive modality for viewing them. Additionally, detection of a retroperitoneal or pancreatic abscess is often possible at an earlier stage with CT than with ultrasound. On CT, an abdominal abscess appears as a gas-containing, loculated fluid collection with a rim of enhancement outside the alimentary canal or within a solid organ. Intravenous contrast is helpful in differentiating normal parenchyma and abscess contents. The five accompanying CT images show a developing pelvic abscess in a patient who was approximately one week post surgery for a transabdominal hysterectomy (TAH), bilateral salpingoophorectomy (BSO), and Burch procedure. The patient was febrile with leukocytosis. There are two separate axial views, one each on POD#7 and POD#8. The fifth view is a coronal reconstruction, demonstrating that the lesions seen on the two separate axial views are parts of the same abscess. If the fluid collection is well-visualized on CT and allows safe percutaneous access, treatment with percutaneous catheter drainage is indicated. Advantages of this method of treatment over surgery include a lower rate of morbidity, shorter hospital stay, and lower expense.

No MeSH data available.