Ultrasound Guided Drainage and Aspiration of Intra-Abdominal Fluid Collections

Gomaa, Samar Mahfouz Abdelmaged; M.Farouk, Hesham; M. Ali, Ahmed

doi:10.21608/bjas.2023.197481.1104

	Ultrasound Guided Drainage and Aspiration of Intra-Abdominal Fluid Collections
Benha Journal of Applied Sciences
Article 18, Volume 8, Issue 3, March 2023, Page 113-120 PDF (875.34 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2023.197481.1104
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Authors
Samar Mahfouz Abdelmaged Gomaa ¹; Hesham M.Farouk²; Ahmed M. Ali²
¹Department of Radiodiagnosis Faculty of Medicine- Benha University
²Radio diagnosis Dept., Fac., of Medicine, Benha Univ., Benha, Egypt
Abstract
Background: Currently, ultrasound-guided percutaneous biopsies, abdominal abscesses evacuation, cyst and fluid aspiration are standard diagnostic techniques. This research purposed to clarify role of ultrasound guided evacuation and intra-abdominal fluid collections aspiration.Methods: This cohort prospective research was conducted on 50 intra-abdominal fluid collections individuals who had ultrasound-guided percutaneous evacuation. The collections were discovered and targeted by ultrasound or guided percutaneous needle aspiration, and a safe evacuation path that protected key anatomic structures was devised. All participants underwent exhaustive patient history, clinical and general examinations and lab investigations and radio diagnostic imaging.Results: Regarding the location of collection, it was intraperitoneal in 33(66%) patients and retroperitoneal in 17(34%). The nature of collection was liver abscess in 25(50%) patients, peripancreatic collection in 10 (20%) patients, GB perforation in 8 (16%) patients and appendicular abscess in 7 (14%) patients. Nature of fluid was unilocular in 26 (52%) patients and multilocular in 24 (48%) patients. The volume drainage ranged from 476-775 ml with a mean of 622.74±84.39 ml. Catheter was the treatment option in 29 (58%) patients and Puncture was the treatment option in 21(42%) patients. The hospital stay was with a median of 2.5 days.Conclusions: US-guided evacuation is an effective treatment for intra-abdominal collections and has become the therapeutic option for a broad range of intra-abdominal collections. It is advantageous to avoid or postpone a big operation.
Keywords
Ultrasound-Guided; Drainage; Aspiration and Intra-Abdominal Fluid Collections


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