RESUMO
Percutaneous drainage has been widely accepted as the preferred treatment for abdominal abscess. Indications have been clarified recently and the absence of a secure route is the only absolute contraindication. We performed this procedure in 65 patients with abdominal abscess at different locations: liver 27, subphrenic 33, lesser cavity 3 and perirenal 3. Overall success rate was 85%, with 89% for liver and 88% for the subphrenic location. Six patients died of multisystemic failure even though the abscess was properly drained. Four patients were operated on for persistent abscess. A pancreatic fistula was shown in 1 and a peritoneal hydatid cyst was the original lesion in the other. Pneumothorax occurred in 5 patients requiring drainage in 2. Two other patients developed hydro-pneumothorax and empyema, that was drained. The overall complication rate was 14%. Thus, percutaneous drainage is a simple and highly successful treatment for abdominal abscess. Results are influenced by the accuracy of diagnosis and a proper selection of patients.
Assuntos
Abdome , Abscesso/terapia , Drenagem/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateteres de Demora , Criança , Pré-Escolar , Drenagem/instrumentação , Feminino , Humanos , Abscesso Hepático/terapia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Abscesso Subfrênico/terapiaAssuntos
Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Drenagem , Abscesso/terapia , Abdome , Abscesso Subfrênico/terapia , Idoso de 80 Anos ou mais , Cateteres de Demora , Drenagem/instrumentação , Estudos Retrospectivos , Abscesso Hepático/terapiaRESUMO
Presentamos un caso de hipertension arterial severa, secundaria a enfermedad poliquistica del adulto, que remite luego a puncion, aspiracion y esclerosis de los quistes via percutanea y bajo control ecografico.
Assuntos
Adulto , Humanos , Feminino , Hipertensão/terapia , Doenças Renais Policísticas , Esclerose , Bolívia , PunçõesRESUMO
Paciente de 21 años de edad, primigrávida, vista en consulta a las 15 semanas de gestación. Realizados los estudios de rutina, mediante la ultrasonografía, se diagnostica anecefalia, razón por la que luego de evaluar la situación se decide interrumpir el embarazo