Ultrasound in the diagnosis and treatment of abdominal abscesses

Шаврина, Н. В.; Ermolov, Alexander S.; Yartsev, P. A.; Кирсанов, И. И.; Khamidova, L. T.; Oleynik, M. G.; Тарасов, С. А.

doi:10.17116/hirurgia201911129

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…Because ultrasound imaging has the characteristics of accurately location, nature, relationship with adjacent blood vessels, low cost, and low infection rate, ultrasound-guided puncture drainage has become the most important and practical method for the clinical treatment of abdominal abscess. [8] However, Yao Liqin et al [9] pointed out through clinical analysis that conventional ultrasound cannot effectively show the necrotic area of abscess congestion and edema that has not yet liquefied, and the same conventional ultrasound cannot fully identify the real necrotic area inside the abdominal abscess. The reason may be that some of the abscesses are pus Fluid thickening may be weak to hypoechoic on color Doppler ultrasonography, or due to the use of antibiotics, the abscess is in a critical state that is neither liquefied nor difficult to absorb.…”

Section: Discussionmentioning

confidence: 99%

Periumbilical giant abscess and intestinal leakage in late pregnancy: A rare case report and literature review

Chen

et al. 2023

Medicine

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Background: Complicated Periumbilical abscess in late pregnancy is rare in clinical practice. Pubmed searches for articles published from January 1980 to September 2021. Such related reports did not retrieve article about “pregnancy” and “periumbilical abscess.” Case presentation: We reported on a 34-year-old female patient who was admitted to the hospital with periumbilical pain for 3 days at 34 + 1 weeks of pregnancy. The result of imaging examination showed that there was an inflammatory mass in the middle and lower abdominal wall in the third trimester of pregnancy. The periumbilical abscess was punctured and drained first, and then the pregnant woman was assisted to give birth to a baby girl through vagina after the condition was stable. Subsequently, laparotomy + abdominal abscess resection and drainage + partial small bowel resection + ileostomy were performed. Pathology showed inflammatory mass. Conclusions: Periumbilical abscess in the third trimester of pregnancy is rare clinically. For some pregnant women with previous trauma and surgical history, obstetric examination should not be restricted. For example, pregnant women with a history of abdominal surgery should expand the range of abdominal color Doppler ultrasound during the prenatal examination. When necessary, combine with computed tomography for diagnosis and treatment, avoid missed diagnosis, which will make the treatment more difficult and increase the risk. If the pregnant women has corresponding symptoms in the third trimester, vaginal delivery can be performed to terminate the pregnancy, and then the periumbilical abscess can be removed. At the same time, closely monitor the vital signs of newborn and mothers.

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Section: Discussionmentioning

confidence: 99%

Periumbilical giant abscess and intestinal leakage in late pregnancy: A rare case report and literature review

Chen

et al. 2023

Medicine

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“…In recent years there are many results of successful surgical treatment of abdominal abscesses of various localizations, including the pancreas, by drainage under ultrasound or CT guidance (Jo, 2015;Lee, 2017;Rani, 2016;Yang, 2016). Shavrina et al (2019) 2019) didn't find significant difference in mortality (endoscopy 8.8% vs surgery 6.3%; P = .999), but complications rate was significantly higher in the surgery group (0.69 ± 1.03) compared with the endoscopy group (0.15 ± 0.44) (P = .007). Wang et al (2019) compare laparoscopic approach or an open surgical procedure, percutaneous catheter drainage and endoscopic drainage.…”

Section: Treatment Of Pancreatic Abscessmentioning

confidence: 91%

Pancreatic abscess: a modern look at an old problem

Prytkov

Yurkin

2021

USMYJ

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analysis of morphological and etiologic characteristics and clinical features of pancreatic abscesses on the basis of previous publications. Theoretical analysis and generalization, classification, analysis of scientific and methodical literature. The analysis of the literature was carried out using electronic scientometric database Scopus, Web of Science, Ulrich's Periodicals, Google Scholar, PubMed, Medline. We analyzed literary sources publicated since 1909, using the keywords, such as: pancreatic abscess, abscess of pancreas. Articles published in professional English-language journals were included. Were analyzed publications dedicated to acute pancreatitis, chronic pancreatitis, infected pseudocysts as a cause of pancreatic abscess. We analyzed scientific works concerning benign and malignant tumors of pancreaticoduodenal area, scientific papers concerning fish bone penetration into the pancreas. Causes of pancreatic abscess development such as trauma of the pancreas, thrombosis of a.lienalis and pancreas divisum were described in the publication for the first time. Other scientific works are devoted to infectious agents, diagnosis and treatment of abscesses. Pancreatic abscess is the body's response to pancreatic infection that is characterized by specific morphological structure and heterospecific etiology. Pancreatic abscess is the transition state that combines acute destructive (acute infected necrotizing pancreatitis) and chronic degenerative (a chronic fibrotic-degenerative pancreatitis complicated by the pancreatic pseudocyst) pancreatitis. Pancreatic abscess can be considered as the marker of chronization of inflamantory and destructive pathological processes that need etiologic authentication and further treatment.

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“…При такой хирургической тактике риск рецидива достаточно высок и составляет, по данным разных авторов, до 75,0 %, что требует повторного оперативного вмешательства [3,8,10,12,13]. В настоящее время для лечения абсцессов брюшной полости интенсивно внедряются пункционно-дренирующие методики под ультразвуковым контролем, так как они имеют существенные преимущества перед открытыми, классическими хирургическими методами [2,3,[5][6][7][8][9][11][12][13].…”

Section: актуальностьunclassified

“…Многократное УЗИ в сочетании с рациональной медикаментозной терапией в послеоперационном периоде минимизирует риск развития гнойных осложнений после аппендэктомии, а в случае их развития позволяет своевременно обнаружить. По данным некоторых авторов, время от появления первых признаков абсцесса до повторной операции без использования УЗИ составляет 12-16 дней по сравнению с 3-5 днями при использовании ультразвукового мониторинга [2,3,5,[8][9][10][11]13].…”

Section: актуальностьunclassified

“…УЗИ позволяет оценить глубину залегания, распространенность гнойного процесса и вовлеченность окружающих тканей. Все вышеперечисленное позволяет использовать УЗИ не только как метод диагностики, но и как метод навигации для хирургического малоинвазивного вмешательства [2,4,7,9,11,12,14].…”

Section: актуальностьunclassified

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Minimally Invasive Treatment of Abdominal Abscesses in Children Using Ultrasound Navigation

Yusufov,

Rumyantseva,

Gorshkov

et al. 2023

jour

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The article provides a brief review of the literature on the diagnosis and management tactics of children with abdominal abscesses. A study of the literature has shown that open methods of treating abdominal abscesses are still the most common in children’s practice, although puncturedrainage techniques have obvious advantages. This publication presents an analysis of the results of five years of experience in the treatment of children with abdominal abscesses using minimally invasive technologies. A unique clinical case of multiple abdominal abscesses in a 10-year-old child undergoing outpatient treatment for gastroduodenitis without an effect is described in detail. During hospitalization, an ultrasound examination (ultrasound) was performed, multiple abscesses of the abdominal cavity of various localization and sizes were found. The method of percutaneous minimally invasive surgical intervention under ultrasound control was chosen as the treatment tactic. The above observation shows the wide possibilities of ultrasound in the diagnosis and treatment of abdominal abscesses in children.

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Ultrasound in the diagnosis and treatment of abdominal abscesses

Cited by 6 publications

References 2 publications

Periumbilical giant abscess and intestinal leakage in late pregnancy: A rare case report and literature review

Periumbilical giant abscess and intestinal leakage in late pregnancy: A rare case report and literature review

Pancreatic abscess: a modern look at an old problem

Minimally Invasive Treatment of Abdominal Abscesses in Children Using Ultrasound Navigation

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