Intra Abdominal Abscesses

Intra-abdominal abscesses can be successfully drained by an echoguided mini-invasive access like that described in regards to our patient with ulcera-tive colitis and a subhepatic abscess. In many cases, however, fistula formation and intestinal obstruction is associated with intra-abdominal abscesses, and abscess drainage does not improve the situation in the long term. More than 25% of patients undergoing surgery for Crohn's disease will have either an intraabdominal mass or abscess. Of these masses, 40% will have an associated fistula [19, 20]. Traditionally, the majority of abscesses associated with Crohn's disease have been approached with operative drainage; however, improved interventional radiological techniques have resulted in an increased use of percutaneous drainage. Doing so will facilitate an improvement in the patients general condition prior to definitive surgical repair [20]. Non-operative therapy prevented subsequent surgery in half of the patients and may be a reasonable treatment option [21]. In cases with no associated abscess primary reconstruction can be proposed.

Was this article helpful?

0 0
Naturally Cure Erectile Dysfunction

Naturally Cure Erectile Dysfunction

Whether we like it or not, for many men it gets increasingly difficult to perform sexually as the years advance.

Get My Free Ebook


Post a comment