الفهرس | Only 14 pages are availabe for public view |
Abstract - 122 - SUMMARY Intra-abdominal abscess remains a challenging clinical problem. Patients are frequently critically ill with major ongan system failure. Application of newer imaging techniques should allow a better than 90 percent accuracy of abscess localization. Intra-abdominal abscess occur frequently as a complication of trauma, diseases and / or surgery of the alimentary tract as well as the female and male genito-urinary tract. Clinically the patient may present with systemic as well as local manifestations. The systemic manifestations may be, fever,tachycardia, leucocytosis, loss of weight, and anaemia· locally there may be, local pain, tenderness and swelling. Diagnosis of intra-abdominal abscesses can be reached by radiological examination, using barium meals, cholecystography, and pyelography, Ultrasonography, Gallium scanning, Computerized tomography and finally diagnostic needle aspiration. - 123 - Clearer definiton of the abscess cavity by ultrasound or Computerized tomography facilitates planning of surgical drainage route preoperatively. Ultrasound and Computerized tomography have also allowed directed percutaneous aspiration of intraabdominal fluid collections for diagnosis. Treatment of these abscesses can be fulfilled by drainage associated with apropriate antibiotic, there are two types of drainage procedures:- 1- Percutaneous catheter drainage guided by ultrasonography or computed tomography. In selected patients, percutaneous drainage has the proven capability to completelY resolve a large percentage of intraabdominal abscesses. Final application of this technique awaits further study. 2- Open surgical drainage through either posterior or anterior extraserous approach. |