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27 August 2017
Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2 1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. 2) Department of
10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.

PERCUTANEOUS DRAINAGE : AN EFFECTIVE AND LESS AGRESSIVE APPROACH FOR COMPLICATED DIVERTICULAR ABSCESS

Mohamadou Lamine Gueye1, Jaafar Ibn Abu Talib Thiam2, Abdou Niasse1, Ousmane Thiam1, Hamidou Deme3, Mamadou Seck1, Alpha Oumar Toure1, Cheikh Tidiane Toure1

1) Department Of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.

2) DJoliot Curie Institute, Aristide Le Dantec Hospital, Dakar, Senegal.

3) Department Of Radiology, Aristide Le Dantec Hospital, Dakar, Senegal.

Disclosure: The author has declared no conflicts of interest.

Received: 16.05.16 Accepted: 16.06.16

Citation: 10.5455/ijsm.diverticular-abscess

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Abstract:

Retroperitoneal abscess is a serious complication of diverticular disease. Its management involves several options, ranging from conservative management to surgery. Elective colectomy is most often thought to be mandatory after a percutaneous drainage given the high rate of recidive. However, in patients with high risk for surgery, percutaneous drainage is often the main therapeutic alternative. We report a case of a 80-year-old woman, who was diagnosed to have a retroperitoneal abscess complicating a sigmoid diverticulitis. Ultrasound-guided percutaneous drainage allowed to drain 1500cc of pus and gas. The cytobacteriological examination was positive for: Streptococcus spp and Alkalescens dispar. The therapeutic outcomes were uneventful and despite we did not realize a colectomy because the patient was at high risk for surgery, there was no recidive after a 2-year-follow-up period. Percutaneous drainage can be a therapeutic alternative in patients with high risk for surgery in diverticular abscess of big size.

Keywords: Diverticular abscess, percutaneous drainage, sigmoid diverticulitis, Hinchey II


How to Cite this Article

Gueye, M., Thiam, J., Niasse, A., Thiam, O., Deme, H., Seck, M., Toure, A. and Toure, C. (2017). PERCUTANEOUS DRAINAGE : AN EFFECTIVE AND LESS AGRESSIVE APPROACH FOR COMPLICATED DIVERTICULAR ABSCESS. International Journal of Surgery and Medicine, [online] 3(4). Available at: http://10.5455/ijsm.diverticular-abscess [Accessed 18 Mar. 2017].

Last modified onSaturday, 18 March 2017 22:58
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