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Percutaneous drainage of abdominal fluid collections in children
Insights
Percutaneous drainage effectively treated intraabdominal fluid collections in children. This minimally invasive approach, using needles or catheters, proved safe and successful in most cases, avoiding surgery.
Area of Science:
- Pediatric surgery
- Interventional radiology
- Abdominal imaging
Background:
- Intraabdominal fluid collections in children require effective management.
- Minimally invasive techniques are preferred to reduce patient morbidity.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous drainage for intraabdominal fluid collections in pediatric patients.
Main Methods:
- Ultrasound (sonography) or computed tomography (CT) guided percutaneous drainage.
- Utilized a 22-gauge aspiration needle for initial access.
- Employed catheter drainage for persistent collections.
- Surgical intervention was reserved for complex cases.
Main Results:
- Percutaneous drainage was performed in 13 children.
- Complete fluid evacuation was achieved in 5 patients via needle aspiration alone.
- Successful drainage was accomplished in 7 patients using percutaneous catheters.
- One patient required surgery for a complex hematoma with clots.
- No complications were reported during the procedures.
Conclusions:
- Percutaneous drainage is a safe and effective treatment for pediatric intraabdominal fluid collections.
- Minimally invasive techniques, including needle aspiration and catheter drainage, offer high success rates.
- This approach can obviate the need for surgical intervention in most pediatric cases.
Abstract:
Percutaneous drainage of intraabdominal fluid collections was performed in 13 children. After initial diagnosis with either sonography or computed tomography, a smallbore aspiration needle (22 gauge) was guided into the collection, usually by sonography. In five patients, complete evacuation was possible using the aspirating needle alone. In seven others, the fluid was successfully drained via a catheter introduced percutaneously. In one patient, surgery was required for complete evacuation of a hematoma containing large blood clots. There were no complications.