The role of percutaneous abscess drainage in adult patients with perforated appendicitis

Роль чрескожного дренирования абсцесса у взрослых пациентов с перфоративным аппендицитом
Fatma Kulali 1 * , Aslihan Semiz-Oysu 1, Ozgul Duzgun 2, Yasar Bukte 1
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1 Radiology Department, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
2 General Surgery Department, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 3, Issue 53, pp. 42-46. https://doi.org/10.23950/1812-2892-JCMK-00705
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ABSTRACT

Objectives: To evaluate the effectiveness of ultrasound (US) guided percutaneous abscess drainage in the treatment of adult patients with perforated appendicitis and to estimate the success rate.
Material and methods: Pre-interventional computed tomography examinations of patients (n=63) who had abscess formation due to perforated appendicitis were reviewed retrospectively. A total of 15 patients [6 (40%) women and 9 (60%) men] with a mean age of 42±21 (SD) years who underwent US-guided percutaneous abscess drainage were enrolled in this study. Abscess volume, location, catheter duration and follow-up results were recorded. The treatment effectiveness of US-guided percutaneous abscess drainage was investigated.
Results: A total of 15 patients were included. Abscess formations were in right lower quadrant (n=10) and deep pelvic area (n=5). The mean abscess volume was 235 mm3 (range: 20 - 1180). The mean catheter duration was 12.2 ± 7.8 days (range: 3 - 30). Five patients (5/15, 33%) were treated non-surgically with complete response. In remaining 10 patients (10/15, 67%), surgical management was required because of recurrent abscess (3/15, 20%) and progression in abscess volume (7/15, 47%). The technical success rate and the clinical success rate was 100%, and 33%, respectively.
Conclusion: Because of our low clinical success rate with 33%, we recommended US-guided percutaneous abscess drainage in perforated appendicitis for some selected patients with high risk surgery.
Keywords: abscess, appendicitis, interventional radiology, percutaneous drainage, ultrasound

CITATION

Kulali F, Semiz-Oysu A, Duzgun O, Bukte Y. The role of percutaneous abscess drainage in adult patients with perforated appendicitis. Journal of Clinical Medicine of Kazakhstan. 2019;3(53):42-6. https://doi.org/10.23950/1812-2892-JCMK-00705

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