eMedicine Specialties > Radiology > Vascular/Interventional

Percutaneous Abscess Drainage: Multimedia

Author: Evan J Samett, MD, Consulting Staff, Department of Radiology, MacNeal Hospital
Contributor Information and Disclosures

Updated: Nov 9, 2009

Multimedia

StatLock catheter securement device for a drainag...Media file 1: StatLock catheter securement device for a drainage catheter. This may be used in conjunction with PercuStay for added protection from catheter dislodgement.
StatLock catheter securement device for a drainag...

StatLock catheter securement device for a drainage catheter. This may be used in conjunction with PercuStay for added protection from catheter dislodgement.

Dress normally. Secure the catheter and/or draina...Media file 2: Dress normally. Secure the catheter and/or drainage bag tubing to skin further down to help prevent catheter dislodgment.
Dress normally. Secure the catheter and/or draina...

Dress normally. Secure the catheter and/or drainage bag tubing to skin further down to help prevent catheter dislodgment.

Radiology procedure preassessment form.Media file 3: Radiology procedure preassessment form.
Radiology procedure preassessment form.

Radiology procedure preassessment form.

More on Percutaneous Abscess Drainage

References
Further Reading

References

  1. Rivera-Sanfeliz G. Percutaneous abdominal abscess drainage: a historical perspective. AJR Am J Roentgenol. Sep 2008;191(3):642-3. [Medline].

  2. Mortelé KJ, Girshman J, Szejnfeld D, Ashley SW, Erturk SM, Banks PA, et al. CT-guided percutaneous catheter drainage of acute necrotizing pancreatitis: clinical experience and observations in patients with sterile and infected necrosis. AJR Am J Roentgenol. Jan 2009;192(1):110-6. [Medline].

  3. Weber A, Rosca B, Neu B, Rösch T, Frimberger E, Born P, et al. Long-term follow-up of percutaneous transhepatic biliary drainage (PTBD) in patients with benign bilioenterostomy stricture. Endoscopy. Apr 2009;41(4):323-8. [Medline].

  4. Kloek JJ, van der Gaag NA, Aziz Y, Rauws EA, van Delden OM, Lameris JS, et al. Endoscopic and Percutaneous Preoperative Biliary Drainage in Patients with Suspected Hilar Cholangiocarcinoma. J Gastrointest Surg. Sep 15 2009;[Medline].

  5. Yamakado K, Takaki H, Nakatsuka A, Kashima M, Uraki J, Yamanaka T, et al. Percutaneous Transhepatic Drainage of Inaccessible Abdominal Abscesses Following Abdominal Surgery Under Real-Time CT-Fluoroscopic Guidance. Cardiovasc Intervent Radiol. Aug 29 2009;[Medline].

  6. Laborda A, De Gregorio MA, Miguelena JM, Medrano J, Gómez-Arrue J, Serrano C, et al. Percutaneous treatment of intrabdominal abscess: urokinase versus saline serum in 100 cases using two surgical scoring systems in a randomized trial. Eur Radiol. Feb 4 2009;[Medline].

  7. Yamagami T, Terayama K, Yoshimatsu R, Matsumoto T, Miura H, Nishimura T. Percutaneous drainage of psoas abscess under real-time computed tomography fluoroscopic guidance. Skeletal Radiol. Mar 2009;38(3):275-80. [Medline].

  8. Barbu ST, Rednic N, Cazacu M. [Ultrasound guided percutaneous drainage in the treatment of local septic complications of chronic pancreatitis]. Rev Med Chir Soc Med Nat Iasi. Jan-Mar 2008;112(1):119-25. [Medline].

  9. Laganà D, Carrafiello G, Mangini M, Ianniello A, Giorgianni A, Nicotera P, et al. Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience. Radiol Med. Oct 2008;113(7):999-1007. [Medline].

  10. Alis H, Soylu A, Dolay K, Aygun E. Endoscopic transcolonic catheter-free pelvic abscess drainage. Can J Gastroenterol. Dec 2008;22(12):983-6. [Medline].

  11. Akins EW, Hawkins IF Jr, Mladinich C, et al. The blunt needle: a new percutaneous access device. AJR Am J Roentgenol. Jan 1989;152(1):181-2. [Medline].

  12. Ansell G, Bettmann MA, Kaufman JA, eds. Complications in Diagnostic Imaging and Interventional Radiology. 3rd ed. London; Blackwell Science; 1996.

  13. Bernardino ME, Berkman WA, Plemmons M, et al. Percutaneous drainage of multiseptated hepatic abscess. J Comput Assist Tomogr. Feb 1984;8(1):38-41. [Medline].

  14. Chung T, Hoffer FA, Lund DP. Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic guidance. Pediatr Radiol. Dec 1996;26(12):874-8. [Medline].

  15. Gervais DA, Brown SD, Connolly SA, et al. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics. May-Jun 2004;24(3):737-54. [Medline].

  16. Gobien RP, Stanley JH, Schabel SI, et al. The effect of drainage tube size on adequacy of percutaneous abscess drainage. Cardiovasc Intervent Radiol. 1985;8(2):100-2. [Medline].

  17. Haaga JR, Weinstein AJ. CT-guided percutaneous aspiration and drainage of abscesses. AJR Am J Roentgenol. Dec 1980;135(6):1187-94. [Medline].

  18. Hoffer FA, Emans J. Percutaneous drainage of subperiosteal abscess: a potential treatment for osteomyelitis. Pediatr Radiol. Dec 1996;26(12):879-81. [Medline].

  19. Hoffer FA, Shamberger RC, Teele RL. Ilio-psoas abscess: diagnosis and management. Pediatr Radiol. 1987;17(1):23-7. [Medline].

  20. Hoffer FA, Teele RL, Lillehei CW, Vacanti JP. Infected bilomas and hepatic artery thrombosis in infant recipients of liver transplants. Interventional radiology and medical therapy as an alternative to retransplantation. Radiology. Nov 1988;169(2):435-8. [Medline].

  21. Kadir S, ed. Current Practice of Interventional Radiology. Philadelphia, Pa: BC Decker; 1991:.

  22. Lambiase RE. Percutaneous abscess and fluid drainage: a critical review. Cardiovasc Intervent Radiol. May-Jun 1991;14(3):143-57. [Medline].

  23. Maher MM, Gervais DA, Kalra MK, et al. The inaccessible or undrainable abscess: how to drain it. Radiographics. May-Jun 2004;24(3):717-35. [Medline].

  24. Mueller PR, Ferrucci JT Jr, Butch RJ, et al. Inadvertent percutaneous catheter gastroenterostomy during abscess drainage: significance and management. AJR Am J Roentgenol. Aug 1985;145(2):387-91. [Medline].

  25. Mueller PR, vanSonnenberg E, Ferrucci JT Jr. Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part II: Current procedural concepts. Radiology. May 1984;151(2):343-7. [Medline].

  26. Park JK, Kraus FC, Haaga JR. Fluid flow during percutaneous drainage procedures: an in vitro study of the effects of fluid viscosity, catheter size, and adjunctive urokinase. AJR Am J Roentgenol. Jan 1993;160(1):165-9. [Medline].

  27. Samett EJ, Espinosa GA, Flowers CF. The fluid-dynamics of percutaneous drainage needles and catheters, and its application to a reduced cost percutaneous drainage technique using the Needle Aspiration Test. Presented at ARRS Annual Meeting. San Francisco, Calif;1998.

  28. Schroder J. The mechanical properties of guidewires. Part I: Stiffness and torsional strength. Cardiovasc Intervent Radiol. Jan-Feb 1993;16(1):43-6. [Medline].

  29. Smith DC, Hamlin JA, Jensen DA, et al. Effects of angiographic needle size and subsequent catheter insertion on arterial walls. An in vitro experiment in human cadavers. Invest Radiol. Oct 1992;27(10):763-7. [Medline].

  30. vanSonnenberg E, D'Agostino HB, Casola G, et al. Percutaneous abscess drainage: current concepts. Radiology. Dec 1991;181(3):617-26. [Medline].

Further Reading

Clinical guidelines

ACR Appropriateness Criteria® acute abdominal pain and fever or suspected abdominal abscess.
American College of Radiology - Medical Specialty Society.  1996 (revised 2006).  7 pages.  NGC:005138

Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised).
American Society of Colon and Rectal Surgeons - Medical Specialty Society.  1996 (revised 2005 Jul).  6 pages.  NGC:004432

Surgical treatment of disease and injuries of the spleen.
Society for Surgery of the Alimentary Tract, Inc - Medical Specialty Society.  2004 Feb 21.  3 pages.  NGC:003836

Clinical trials

Ateplase for Percutaneous Treatment of Loculated Abdominopelvic Abscesses

Safety and Effectiveness of tPA in Intra-Abdominal Abscesses

Combination Chemotherapy and Bevacizumab in Treating Patients With Stage IV Colon Cancer That Cannot Be Removed By Surgery


Related eMedicine topics

Basic Fluid Dynamics Principles - Application to Percutaneous Intervention

Splenic Abscess

Abdominal Abscess

Bedside Ultrasonography, Abscess Evaluation


Keywords

percutaneous abscess drainage, PAD, CT/US-guided drainage, abscess drainage

Contributor Information and Disclosures

Author

Evan J Samett, MD, Consulting Staff, Department of Radiology, MacNeal Hospital
Evan J Samett, MD is a member of the following medical societies: American College of Radiology and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Fredric A Hoffer, MD, FAAP, FSIR, Professor of Radiology, University of Washington; Section Chief of Interventional Radiology, Department of Radiology, Seattle Children's Hospital and Regional Medical Center
Fredric A Hoffer, MD, FAAP, FSIR is a member of the following medical societies: American Academy of Pediatrics, Children's Oncology Group, Radiological Society of North America, Society for Pediatric Radiology, and Society of Interventional Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Douglas M Coldwell, MD, PhD, Professor of Radiology, Director, Division of Vascular and Interventional Radiology, University of Louisville School of Medicine
Douglas M Coldwell, MD, PhD is a member of the following medical societies: American Association for Cancer Research, American College of Radiology, American Heart Association, American Physical Society, American Roentgen Ray Society, Society of Cardiovascular and Interventional Radiology, Southwest Oncology Group, and Special Operations Medical Association
Disclosure: Sirtex, Inc. Consulting fee Speaking and teaching

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Kyung J Cho, MD, FACR, William Martel Professor of Radiology, Interventional Radiology Fellowship Director, University of Michigan Health System
Kyung J Cho, MD, FACR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

RELATED MEDSCAPE ARTICLES
Articles
 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.