Yeungnam Univ J Med.  1985 Dec;2(1):87-93. 10.12701/yujm.1985.2.1.87.

Ultrasonographic Features of Intra-abdominal Abscess

• Cho KH
• Jung KH
• Hwang MS
• Chang JC
• Kwun KB
• Min HS

• KMID: 2373015
• DOI: http://doi.org/10.12701/yujm.1985.2.1.87

Abstract

Intraabdominal abscess usually causes distress with fever, leukocytosis, pain and toxicity. Diagnosis of intraabdominal abscess is occasionally difficult and it has high morbidity. However radiologic method, such as ultrasonography, CT scan, or RI scan are helpful to early detection of intraabdominal abscess. Among these methods, ultrasonography is a noninvasive technique and performed without discomfort to patient. And also differential diagnosis between cystic and solid lesion is very easy and sequential ultrasonography in same patient is valuable for the evaluation of treatment effect. We analyzed the ultrasonic features of 48 cases with intraabdominal abscesses and the results are as follows; 1. In total 48 cases, the intraabdominal abscesses were 30 cases, the retroperitoneal abscesses, 5 cases, and the visceral abscesses, 13 cases. 2. The causes of the intraabdominal abscesses were perforating appendicitis (25 cases), postoperative complications (5 cases), pyogenic and amebic hepatic abscesses (13 cases), and the other (5 cases). 3. Round or oval shaped lesions were 26 cases (54%), irregular shape, 18 cases (38%), and multiple abscess formation in 4 cases (8%). 4. The size of the lesions were between 5 and 10cm in diameter in 54% of total 48 cases, and the most frequent feature of the echo pattern of the lesions was cystic with or without internal echogenicity (69%).

MeSH Terms

Abdominal Abscess*
Abscess
Appendicitis
Diagnosis
Diagnosis, Differential
Fever
Humans
Leukocytosis
Liver Abscess
Methods
Postoperative Complications
Tomography, X-Ray Computed
Ultrasonics
Ultrasonography