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Article
April 1986

Percutaneous Drainage of Diverticular AbscessAn Adjunct to Surgical Therapy

Author Affiliations

From the Departments of Radiology (Drs Saini, Mueller, Wittenberg, and Butch) and Surgery (Drs Rodkey and Welch), Massachusetts General Hospital, Boston.

Arch Surg. 1986;121(4):475-478. doi:10.1001/archsurg.1986.01400040113018
Abstract

• We undertook this study to determine whether a computed tomography—guided, percutaneous preoperative drainage of a peridiverticular abscess can safely allow a one-stage procedure in patients requiring surgery for acute diverticulitis. In 17 patients evaluated prospectively by computed tomography, thin-needle aspiration demonstrated purulent fluid collection in 11 patients. Percutaneous catheter drainage was undertaken in eight patients. In the three remaining patients, the abscess was either too small to warrant drainage or no safe access route was present. Seven of eight patients had a single-stage resection within one to three weeks of percutaneous catheter drainage. There were no complications. Our studies suggest that a combined radiological-surgical approach has the potential to reduce morbidity and hospital costs without increasing mortality in the management of perforated colon diverticulitis with associated abscess formation.

(Arch Surg 1986;121:475-478)

References
1.
Rodkey GV, Welch CE:  Changing patterns in the surgical treatment of diverticular disease . Ann Surg 1984;200:466-478.Article
2.
Hackford AW, Schoetz DJ Jr, Coller JA, et al:  Surgical management of complicated diverticulitis: The Lahey clinic experience, 1967 to 1982 . Dis Colon Rectum 1985;28:317-321.Article
3.
Greif JM, Fried G, McSherry CK:  Surgical treatment of perforated diverticulitis of the sigmoid colon . Dis Colon Rectum 1980;23:483-487.Article
4.
Hackford AW, Veidenheimer MC:  Diverticular disease of the colon: Current concepts and management . Surg Clin North Am 1985;65:347-363.
5.
Papanicolaou N, Mueller PR, Ferrucci JT Jr, et al:  Abscess-fistula association: Radiologic recognition and percutaneous management . AJR 1984;143:811-815.Article
6.
VanSonnenberg E, Mueller PR, Ferrucci JT Jr:  Percutaneous drainage of 250 abdominal abscesses and fluid collections: I. Results, failures, and complications . Radiology 1984;151:337-341.Article
7.
Mueller PR, vanSonnenberg E, Ferrucci JT Jr:  Percutaneous drainage of 250 abdominal abscesses and fluid collections: II. Current procedural concepts . Radiology 1984;151:343-347.Article
8.
Hulnick DH, Megibow AJ, Balthazar EJ, et al:  Computed tomography in the evaluation of diverticulitis . Radiology 1984;152:491-495.Article
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