Imaging characteristics and outcomes of ultrasound-guided percutaneousdrainage of appendicular abscess after 12 months at the radiology center, Bach Mai hospital
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Abstract
Abstract
Objectives: Imaging characteristics of appendicular abscess on ultrasound and computed tomography, and outcomes of ultrasound-guided percutaneous drainage of appendiceal abscess after 12 months at Bach Mai Hospital.
Subjects and methods: 19 patients diagnosed with appendicular abscess were treated conservatively with antibiotics, combined with ultrasound-guided percutaneous abscess drainage, at the Radiology Center, Bach Mai Hospital, from March 2023 to April 2025.
Results: The study included 19 patients (10 males, 9 females) with a mean age of 47 years. On ultrasound and computed tomography, 18 patients (94.74%) had abscesses located in the right iliac fossa, while 1 patient (5.26%) had an abscess in the left iliac fossa. The appendix was visualized within the abscess in 12 cases (63.16%) on ultrasound and in all cases on computed tomography. The mean abscess size was 48.75 ± 13.12 mm. The technical and clinical success rate of drainage was 100%, with no reported complications. During a 12-month follow-up period, 78.94% of patients experienced no recurrence, and among them, 31.58% did not require an interval appendectomy. Conclusion:
Ultrasound-guided percutaneous drainage of appendicular abscess is a minimally invasive, safe, and relatively effective treatment modality.
Keywords: appendicular abscess, conservative management, ultrasound-guided percutaneous drainage.
Keywords
appendicular abscess, conservative management, ultrasound-guided percutaneous drainage.
Article Details
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