Drainage of hepatic, intraabdominal, and mediastinal abscesses guided by computerized axial tomography

Mandel, Stanley R.; Boyd, Deborah; Jaques, Paul F.; Mandeli, Valerie; Staab, Edward V.

doi:10.1016/0002-9610(83)90177-0

Cited by 47 publications

(6 citation statements)

References 7 publications

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“…The decline in mortality has been attributed to early diagnosis and treatment since the only significant drop in mortality rate occurred concomitant with the introduction of nuclear liver scanning, thus allowing for early diagnosis [1]. Recently, several authors have reported further reduction of mortality rate with the use of percutaneous drainage (PD) rather than open surgical drainage (SD) [2][3][4].…”

mentioning

confidence: 99%

Pyogenic liver abscess

1990

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Experience with 34 patients with pyogenic liver abscess is reviewed to evaluate the impact of percutaneous drainage and duration of antibiotic therapy on results of treatment. Patients with shock, adult respiratory distress syndrome, disseminated intravascular coagulation, jaundice, severe hypoalbuminemia, and diabetes had a poor prognosis. Percutaneous drainage was used successfully in 4 of 6 patients, but its use did not affect mortality rate or length of hospital stay. Percutaneous drainage may be the procedure of choice for selected patients. Half of our patients received antibiotics for 2 weeks or less with no abscess recurrences in this group. Long-term antibiotics may not be necessary after adequate surgical or percutaneous abscess drainage.

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confidence: 99%

Pyogenic liver abscess

1990

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“…Percutaneous drainage of mediastinal fluid collection is a successful alternative to open drainage, but has been reported less frequently than pleural and lung drainage. MANDEL et al [8] reported two patients treated for an abscess by means of a "pigtail" catheter, but did not mention the precise location of the collection in the mediastinum. GOBIEN et al [7] described CT-guided percutaneous aspiration of 13 mediastinal abscesses by using 8.3 F "pigtail" cathethers.…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous drainage of abscesses of the chest and empyema has been widely described [1][2][3][4][5][6], but few cases of mediastinal drainage have been reported, and only 8.3 F "pigtail" nephrostomy catheters have been used for percutaneous drainage of anterior mediastinal abscesses [7,8]. We report the case of a young man successfully treated for an anterior mediastinal abscess by using a 16 F drainage device percutaneously placed under computed tomographic (CT) guidance.…”

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confidence: 99%

CT-guided percutaneous drainage of an anterior mediastinal abscess with a 16 F catheter

Gevenois¹,

Sergent²,

Myttenaere³

et al. 1995

Eur Respir J

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We report a case of anterior mediastinal abscess treated by percutaneous drainage under computed tomography (CT) guidance. The relationships of the abscess to the adjacent organs were clearly delineated by an intravenous injection of contrast material, and the drain was inserted between the sternum and the vasa thoracica interna. Selection of this route and the choice of a large-bore catheter (16 F) are discussed.

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“…40,41 Endoscopic drainage of mediastinal collections has also been described. 42 Although there were several studies assessing percutaneous image-guided drainage of mediastinal abscesses in the early 1980s, [43][44][45] it is still not an established treatment option. A recent study demonstrated that percutaneous CT-guided drainage was technically successful via either trocar or Seldinger technique in a series of 25 abscess drainage attempts.…”

Section: Mediastinal Abscessmentioning

confidence: 99%

Chest Drainage

McDermott

Levis

Arellano

2012

Semin intervent Radiol

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Infectious, traumatic, or neoplastic processes in the chest often result in fluid collections within the pleural, parenchymal, or mediastinal spaces. The same fundamental principles that guide drainages of the abdomen can be applied to the chest. This review discusses various pathologic conditions of the thorax that can result in the abnormal accumulation of fluid or air, and their management using image-guided methods.

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Drainage of hepatic, intraabdominal, and mediastinal abscesses guided by computerized axial tomography

Cited by 47 publications

References 7 publications

Pyogenic liver abscess

Pyogenic liver abscess

CT-guided percutaneous drainage of an anterior mediastinal abscess with a 16 F catheter

Chest Drainage

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