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Intraabdominal abscess: current concepts in radiologic evaluation.

M D Halber, R H Daffner, C L Morgan

    AJR. American Journal of Roentgenology
    |July 1, 1979
    PubMed
    Summary
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    Computed tomography (CT) is the most accurate imaging for abdominal abscess detection and extent evaluation. Ultrasound also showed high accuracy, while plain films were less definitive, often needing CT or ultrasound confirmation.

    Area of Science:

    • Radiology
    • Abdominal Imaging
    • Diagnostic Procedures

    Background:

    • Abdominal abscesses present diagnostic challenges.
    • Accurate imaging is crucial for timely and effective treatment.

    Purpose of the Study:

    • To compare the diagnostic accuracy of computed tomography (CT), ultrasound, and plain films in patients with suspected abdominal abscess.
    • To evaluate the effectiveness of each imaging modality in determining abscess extent.

    Main Methods:

    • Retrospective analysis of 40 patients with suspected abdominal abscess.
    • Review of imaging studies including computed tomography (CT), plain films, and ultrasound (for 15 patients).
    • Correlation of imaging findings with clinical outcomes and confirmation of abscess presence and extent.

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    Main Results:

    • Computed tomography (CT) demonstrated the highest accuracy for both detecting abdominal abscesses and assessing their extent.
    • Ultrasound examinations were positive in a high percentage of utilized cases.
    • Plain films suggested abscess presence in over half of proven cases but often required CT or ultrasound for confirmation and detailed evaluation.

    Conclusions:

    • Computed tomography (CT) is the most reliable imaging modality for diagnosing abdominal abscesses and defining their characteristics.
    • Ultrasound serves as a valuable supplementary tool.
    • Plain films have limited utility as a primary diagnostic tool for abdominal abscesses.