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Radiologic management of fluid collections in children
Insights
Percutaneous catheter drainage effectively treats intraabdominal fluid collections in children. This minimally invasive approach offers a high cure rate (87%) and low complication rate (4.5%), making it a valuable alternative to surgery.
Area of Science:
- Pediatric Surgery
- Interventional Radiology
Background:
- Intraabdominal fluid collections are common in children.
- Surgical drainage often requires general anesthesia and carries risks.
- Percutaneous catheter drainage is established in adults but less studied in pediatrics.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous catheter drainage for intraabdominal fluid collections in pediatric patients.
- To compare percutaneous drainage outcomes with traditional surgical approaches in children.
Main Methods:
- Retrospective review of 12 pediatric patients with 15 intraabdominal fluid collections.
- 22 percutaneous catheter drainage procedures were performed.
- Outcomes including cure rate, complications, and need for further intervention were analyzed.
Main Results:
- A high technical success rate was observed.
- 87% of fluid collections were successfully treated with percutaneous drainage.
- A low complication rate of 4.5% was recorded.
- One case of intestinal fistula did not respond to drainage.
Conclusions:
- Percutaneous catheter drainage is a safe and effective treatment for pediatric intraabdominal fluid collections.
- It offers a high cure rate and low complication rate, serving as an excellent alternative to surgical drainage.
- This minimally invasive technique is well-suited for the pediatric population, even in complex cases.
Abstract:
Percutaneous catheter drainage procedures have become widely accepted in the management of intraabdominal fluid collections in adults. We report our experience in 12 children with 15 fluid collections who underwent 22 procedures and emphasize the usefulness of this procedure in the pediatric population. Thirteen fluid collections were cured by the procedure. One collection improved with the procedure but needed definitive surgical correction to effect a cure. One other patient with an intestinal fistula did not respond. The complicated nature of many of our cases coupled with the high cure rate (87%) and low complication rate (4.5%) makes percutaneous drainage an excellent alternative to surgical drainage under general anesthesia.