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Percutaneous drainage : an effective and less agressive approach for complicated diverticular abscess

The 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 primary therapeutic alternative. We report a case of an 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 although 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.


Auteur(s) : GUEYE ML, THIAM JIAT, NIASSE A, THIAM O, DEME H, SECK M, TOURE AO, TOURE CT
Année de publication : 2016
Revue : International Journal of Surgery and Medicine, Bugarian Association of Young Surgeons (BAYS)
Type : Article
Mise en ligne par : DEME Hamidou