الفهرس 
AnatomyOnly 14 pages are availabe for public view
 |  | from | 125 |  |  |
| | | from | 125 | | |
Abstract
- 122 -
SUMMARY
Intra-abdominal abscess remains a challenging
clinical problem. Patients are frequently critically
ill with major ongan system failure. Application
of newer imaging techniques should allow a better
than 90 percent accuracy of abscess localization.
Intra-abdominal abscess occur frequently as a
complication of trauma, diseases and / or surgery
of the alimentary tract as well as the female and
male genito-urinary tract.
Clinically the patient may present with
systemic as well as local manifestations. The
systemic manifestations may be, fever,tachycardia,
leucocytosis, loss of weight, and anaemia· locally
there may be, local pain, tenderness and swelling.
Diagnosis of intra-abdominal abscesses can be
reached by radiological examination, using barium
meals, cholecystography, and pyelography,
Ultrasonography, Gallium scanning, Computerized
tomography and finally diagnostic needle aspiration.
- 123 -
Clearer definiton of the abscess cavity by
ultrasound or Computerized tomography facilitates
planning of surgical drainage route preoperatively.
Ultrasound and Computerized tomography have also
allowed directed percutaneous aspiration of intraabdominal
fluid collections for diagnosis.
Treatment of these abscesses can be fulfilled
by drainage associated with apropriate antibiotic,
there are two types of drainage procedures:-
1- Percutaneous catheter drainage guided by
ultrasonography or computed tomography.
In selected patients, percutaneous
drainage has the proven capability to
completelY resolve a large percentage of
intraabdominal abscesses. Final application
of this technique awaits further study.
2- Open surgical drainage through either
posterior or anterior extraserous approach.