Rankeen  Raj,Giriraj  Singh,Jayant  K Banerjee,Ramanathan  Saranga Bharathi,
Image Guided Percutaneous Drainage of Intra-Abdominal Collections
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.08.08
https://www.sciencerepository.org/image-guided-percutaneous-drainage-of-intra-abdominal-collections_SCR-2020-8-108 
Abstract: Background: Intra-abdominal collections and abscesses are commonly encountered in surgical practice.
They contribute to significant morbidity and mortality, hence, need to be addressed expeditiously.
Percutaneous catheter drainage (PCD) is an important treatment modality that is now in vogue.
Aim: This study was carried out to assess the outcomes of image guided PCD of intra-abdominal
collections/ abscesses.
Materials and Methods: This prospective study was carried out at a tertiary centre on patients who
underwent image guided drainage of intra-abdominal collections/ abscesses from Jul 2014 to Dec 2016.
Data was collected by following up the patients both clinically and radiologically.
Results: 31 patients underwent PCD. Procedure was successful in 77.4%. Complete resolution was
observed in all post-operative collections. Collections resolved after a single drainage procedure in 71%
while the remaining 29% required multiple drainage procedures. Liver abscesses were the commonest, with
multiple foci. Organisms were isolated in 13%, Escherichia coli being the commonest isolate. Higher
leucocyte counts, lower levels of drain amylase and shorter duration of antibiotics were significantly
associated with the success of the procedure. There were no complications other than an isolated case of
biliary fistula following drainage of liver abscess. Ultrasonography was found to be at par with CT scan for
PCD.
Conclusion: Image guided PCD is a safe and efficacious procedure for the treatment of intra-abdominal
collections and abscesses. It has a high success rate, especially in postoperative collections. The procedure
has low morbidity and low complication rates. High leucocyte count, short duration of antibiotic exposure
and low levels of drain fluid amylase are independent predictors of favourable outcome after percutaneous
drainage.Keywords: Computerized tomography, Ultra-sonogram, Intra-abdominal collections, Percutaneous catheter drainage