Computed tomography-guided percutaneous XXXX .

@entity1 @entity548 @entity4558 @entity733 @entity158 @entity9440
OBJECTIVE: The aim of the study is to evaluate the role of computed tomography (CT)-guided percutaneous drainage in the management of solitary @entity733 . MATERIALS AND METHODS: Sonography and CT were used in the initial diagnosis of @entity733 in @entity1 with vague left upper @entity158 and/or fever. Solitary @entity733 of nine male @entity1 whose ages varied between 21 and 27 years (mean age: 24.7 years) were percutaneously drained under CT guidance. Puncture with 18-gauge Chiba needles and coaxial guidewire technique was used for insertion of six or eight French pigtail catheters. Antibiotics in accordance with the microbiological results were also given adjuvant to drainage. Follow-up examinations were performed by sonography, daily for the first week and weekly for the next 7 weeks, and by CT at the end of first, fourth and eighth weeks. RESULTS: All @entity1 tolerated the intervention well, except for one complicating with @entity9440 and @entity548 , who underwent emergency splenectomy. The remaining eight @entity1 recovered within 4 weeks without any @entity4558 sequela. A mean of 3.9 days was needed before removing the drainage catheter based on regression criteria. DISCUSSION AND CONCLUSION: CT-guided percutaneous @entity733 may be proven effective and is superior to splenectomy in selected cases, as it preserves host immunity.
