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Abdominal Abscess
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Localized abdominal collection of pus or infected fluid

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Radiographic Findings

                      • Fluoroscopic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Staging, Grading, & Classification

                                  • Gross Pathologic & Surgical Features

                                    • Microscopic Features

                                      CLINICAL ISSUES

                                      • Presentation

                                        • Demographics

                                          • Natural History & Prognosis

                                            • Treatment

                                              DIAGNOSTIC CHECKLIST

                                              • Consider

                                                • Image Interpretation Pearls

                                                  Selected References

                                                  1. Elagili F et al: Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage. Am J Surg. ePub, 2014
                                                  2. Schmid-Tannwald C et al: Role of diffusion-weighted MRI in differentiation of hepatic abscesses from non-infected fluid collections. Clin Radiol. 69(7):687-94, 2014
                                                  3. Yu H et al: The role of interventional radiology in management of benign and malignant gynecologic diseases. Obstet Gynecol Surv. 68(10):691-701, 2013
                                                  4. Neubauer H et al: Diffusion-weighted MRI of abscess formations in children and young adults. World J Pediatr. 8(3):229-34, 2012
                                                  5. Oto A et al: Diffusion-weighted MR imaging of abdominopelvic abscesses. Emerg Radiol. 18(6):515-24, 2011
                                                  6. Mazuski JE et al: Intra-abdominal infections. Surg Clin North Am. 89(2):421-37, ix, 2009
                                                  7. Jaffe TA et al: Practice patterns in percutaneous image-guided intraabdominal abscess drainage: survey of academic and private practice centers. Radiology. 233(3):750-6, 2004
                                                  8. Benoist S et al: Can failure of percutaneous drainage of postoperative abdominal abscesses be predicted? Am J Surg. 184(2):148-53, 2002
                                                  9. Betsch A et al: CT-guided percutaneous drainage of intra-abdominal abscesses: APACHE III score stratification of 1-year results. Acute Physiology, Age, Chronic Health Evaluation. Eur Radiol. 12(12):2883-9, 2002
                                                  10. Cinat ME et al: Determinants for successful percutaneous image-guided drainage of intra-abdominal abscess. Arch Surg. 137(7):845-9, 2002
                                                  11. Gervais DA et al: Percutaneous abscess drainage in Crohn disease: technical success and short- and long-term outcomes during 14 years. Radiology. 222(3):645-51, 2002
                                                  12. Harisinghani MG et al: CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics. 22(6):1353-67, 2002
                                                  13. Lohela P: Ultrasound-guided drainages and sclerotherapy. Eur Radiol. 12(2):288-95, 2002
                                                  14. Men S et al: Percutaneous drainage of abdominal abcess. Eur J Radiol. 43(3):204-18, 2002
                                                  15. Ralls PW: Inflammatory disease of the liver. Clin Liver Dis. 6(1):203-25, 2002
                                                  16. Deck AJ et al: Perinephric abscesses in the neurologically impaired. Spinal Cord. 39(9):477-81, 2001
                                                  17. Green BT: Splenic abscess: report of six cases and review of the literature. Am Surg. 67(1):80-5, 2001
                                                  18. Jacobs JE et al: Computed tomography evaluation of acute pancreatitis. Semin Roentgenol. 36(2):92-8, 2001
                                                  19. Krige JE et al: ABC of diseases of liver, pancreas, and biliary system. BMJ. 322(7285):537-40, 2001
                                                  20. Maggard MA et al: Surgical diverticulitis: treatment options. Am Surg. 67(12):1185-9, 2001
                                                  21. vanSonnenberg E et al: Percutaneous abscess drainage: update. World J Surg. 25(3):362-9; discussion 370-2, 2001
                                                  22. Sirinek KR: Diagnosis and treatment of intra-abdominal abscesses. Surg Infect (Larchmt). 1(1):31-8, 2000
                                                  23. Zibari GB et al: Pyogenic liver abscess. Surg Infect (Larchmt). 1(1):15-21, 2000
                                                  24. Barakate MS et al: Pyogenic liver abscess: a review of 10 years' experience in management. Aust N Z J Surg. 69(3):205-9, 1999
                                                  Related Anatomy
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                                                  Related Differential Diagnoses
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                                                  References
                                                  Tables

                                                  Tables

                                                  KEY FACTS

                                                  • Terminology

                                                    • Imaging

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Definitions

                                                              • Localized abdominal collection of pus or infected fluid

                                                            IMAGING

                                                            • General Features

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Ultrasonographic Findings

                                                                    • Radiographic Findings

                                                                      • Fluoroscopic Findings

                                                                        • Nuclear Medicine Findings

                                                                          • Imaging Recommendations

                                                                            DIFFERENTIAL DIAGNOSIS

                                                                              PATHOLOGY

                                                                              • General Features

                                                                                • Staging, Grading, & Classification

                                                                                  • Gross Pathologic & Surgical Features

                                                                                    • Microscopic Features

                                                                                      CLINICAL ISSUES

                                                                                      • Presentation

                                                                                        • Demographics

                                                                                          • Natural History & Prognosis

                                                                                            • Treatment

                                                                                              DIAGNOSTIC CHECKLIST

                                                                                              • Consider

                                                                                                • Image Interpretation Pearls

                                                                                                  Selected References

                                                                                                  1. Elagili F et al: Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage. Am J Surg. ePub, 2014
                                                                                                  2. Schmid-Tannwald C et al: Role of diffusion-weighted MRI in differentiation of hepatic abscesses from non-infected fluid collections. Clin Radiol. 69(7):687-94, 2014
                                                                                                  3. Yu H et al: The role of interventional radiology in management of benign and malignant gynecologic diseases. Obstet Gynecol Surv. 68(10):691-701, 2013
                                                                                                  4. Neubauer H et al: Diffusion-weighted MRI of abscess formations in children and young adults. World J Pediatr. 8(3):229-34, 2012
                                                                                                  5. Oto A et al: Diffusion-weighted MR imaging of abdominopelvic abscesses. Emerg Radiol. 18(6):515-24, 2011
                                                                                                  6. Mazuski JE et al: Intra-abdominal infections. Surg Clin North Am. 89(2):421-37, ix, 2009
                                                                                                  7. Jaffe TA et al: Practice patterns in percutaneous image-guided intraabdominal abscess drainage: survey of academic and private practice centers. Radiology. 233(3):750-6, 2004
                                                                                                  8. Benoist S et al: Can failure of percutaneous drainage of postoperative abdominal abscesses be predicted? Am J Surg. 184(2):148-53, 2002
                                                                                                  9. Betsch A et al: CT-guided percutaneous drainage of intra-abdominal abscesses: APACHE III score stratification of 1-year results. Acute Physiology, Age, Chronic Health Evaluation. Eur Radiol. 12(12):2883-9, 2002
                                                                                                  10. Cinat ME et al: Determinants for successful percutaneous image-guided drainage of intra-abdominal abscess. Arch Surg. 137(7):845-9, 2002
                                                                                                  11. Gervais DA et al: Percutaneous abscess drainage in Crohn disease: technical success and short- and long-term outcomes during 14 years. Radiology. 222(3):645-51, 2002
                                                                                                  12. Harisinghani MG et al: CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics. 22(6):1353-67, 2002
                                                                                                  13. Lohela P: Ultrasound-guided drainages and sclerotherapy. Eur Radiol. 12(2):288-95, 2002
                                                                                                  14. Men S et al: Percutaneous drainage of abdominal abcess. Eur J Radiol. 43(3):204-18, 2002
                                                                                                  15. Ralls PW: Inflammatory disease of the liver. Clin Liver Dis. 6(1):203-25, 2002
                                                                                                  16. Deck AJ et al: Perinephric abscesses in the neurologically impaired. Spinal Cord. 39(9):477-81, 2001
                                                                                                  17. Green BT: Splenic abscess: report of six cases and review of the literature. Am Surg. 67(1):80-5, 2001
                                                                                                  18. Jacobs JE et al: Computed tomography evaluation of acute pancreatitis. Semin Roentgenol. 36(2):92-8, 2001
                                                                                                  19. Krige JE et al: ABC of diseases of liver, pancreas, and biliary system. BMJ. 322(7285):537-40, 2001
                                                                                                  20. Maggard MA et al: Surgical diverticulitis: treatment options. Am Surg. 67(12):1185-9, 2001
                                                                                                  21. vanSonnenberg E et al: Percutaneous abscess drainage: update. World J Surg. 25(3):362-9; discussion 370-2, 2001
                                                                                                  22. Sirinek KR: Diagnosis and treatment of intra-abdominal abscesses. Surg Infect (Larchmt). 1(1):31-8, 2000
                                                                                                  23. Zibari GB et al: Pyogenic liver abscess. Surg Infect (Larchmt). 1(1):15-21, 2000
                                                                                                  24. Barakate MS et al: Pyogenic liver abscess: a review of 10 years' experience in management. Aust N Z J Surg. 69(3):205-9, 1999