Image-guided drainage of multiple intraabdominal abscesses in children with perforated appendicitis: an alternative to laparotomy.

Pediatric Radiology
Jeffrey W McCannBairbre L Connolly

Abstract

Appendicitis is the most common cause of an acute abdomen in children. With perforation, multiple intraperitoneal collections can be seen at presentation. In this situation, surgical treatment alone is rarely effective. To determine the role of image-guided drainage in treating patients with acute appendicitis complicated by multiple intraabdominal collections. A retrospective review of patient charts and interventional radiology records was performed to identify all patients with acute complicated appendicitis treated by multiple image-guided drainage procedures. Data reviewed included the number of drainages and aspirations performed, drain dwell time, the clinical course and temperature profile, and the length of inpatient hospital stay and any complications experienced. The study population comprised 42 children with a mean age of 107.6 months. A total of 100 drainage catheters were inserted and 56 aspirations were performed. Of the 42 children, 24 were successfully treated at a single sitting, while 18 returned for further intervention. The mean drain dwell time was 8.18 days. The mean inpatient stay was 15.02 days. Treatment of the acute presentation with image-guided intervention was successful in 92.3% of children. Succ...Continue Reading

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Citations

May 19, 2009·Pediatric Radiology·Derek Roebuck
Nov 2, 2012·Pediatric Radiology·Mark J HoganUNKNOWN Society for Pediatric Radiology Interventional Radiology Committee
Oct 30, 2012·Journal of Vascular and Interventional Radiology : JVIR·Mark J HoganUNKNOWN Society of Interventional Radiology Standards of Practice Committee and Society for Pediatric Radiology Interventional Radio
Jul 21, 2012·Journal of Pediatric Surgery·Anna C ShawyerJacob C Langer
Jul 15, 2015·Scandinavian Journal of Gastroenterology·Andre IgneeChristoph Frank Dietrich
Oct 27, 2015·American Journal of Surgery·Peter J FagenholzGeorge C Velmahos
Aug 2, 2016·Pediatrics and Neonatology·Ching-Lun ChenShih-Yen Chen
Apr 14, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Craig R GibsonBairbre L Connolly
May 20, 2020·World Journal of Gastrointestinal Surgery·Nick Zavras, George Vaos

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