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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.


47 yo female, now POD#8 s/p TAH/BSO/Birch, still febrile with elevated WBC count and RLQ pain.  Coronal reconstruction shows the previously-mentioned ring enhancing air+fluid collections to be in communication with each other.
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MPX2654_synpic1588: 47 yo female, now POD#8 s/p TAH/BSO/Birch, still febrile with elevated WBC count and RLQ pain. Coronal reconstruction shows the previously-mentioned ring enhancing air+fluid collections to be in communication with each other.


Post-surgical abscess

Bergland TAB - MedPix (2001)

47 yo female, now POD#8 s/p TAH/BSO/Birch, still febrile with elevated WBC count and RLQ pain.  Coronal reconstruction shows the previously-mentioned ring enhancing air+fluid collections to be in communication with each other.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2654_synpic1588: 47 yo female, now POD#8 s/p TAH/BSO/Birch, still febrile with elevated WBC count and RLQ pain. Coronal reconstruction shows the previously-mentioned ring enhancing air+fluid collections to be in communication with each other.

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.