Non-traumatic abdominal emergencies: imaging and intervention in XXXX .

@entity1 @entity295 @entity1661 @entity292 @entity2719 @entity733
Cross-sectional imaging, in particular CT, has become the main method of detecting abdominal collections. Indium-labelled white-cell scintigraphy and @entity2719 scintigraphy are reserved for @entity1 in whom there is a high clinical suspicion of @entity1661 but CT has not revealed a source of @entity295 . Scintigraphy is also used in @entity1 with suspected vascular graft infections or suspected infected hip prostheses. @entity733 ( @entity733 ) has revolutionised the treatment of abdominal abscesses over the past 20 years, with repeat laparotomy for postoperative abscesses becoming a rare event. Ultrasound or CT can be used to guide @entity733 . Choosing an access route that does not cross intervening organs is of crucial importance to the safe performance of @entity733 . The Trocar or Seldinger techniques can be used with equal success. The cavity should be aspirated until dry and irrigated with saline. Repeat imaging after drainage is helpful to detect any undrained locules. @entity733 endpoints include @entity1 defervescence, reduction in white blood cell count and catheter drainage of less than 10 ml per day. Details regarding @entity733 in specific abdominal regions are discussed. Success rates for @entity733 are high (close to 90%) in most abdominal organs. Slightly lower success rates are seen with @entity733 of pancreatic abscesses and abscesses associated with @entity292 (60-85% success rates). Complication rates lie between 0% and 10%. Complications can be minimised by ensuring that the @entity1 has broad spectrum antibiotic coverage before drainage, by carefully planning the access route and by ensuring diligent post-procedure care by radiology staff.
