CT-guided percutaneous drainage of abdominopelvic collections: a pictorial essay

• Published in: Radiologia medica Vol. 126; no. 12; pp. 1561 - 1570
• Main Authors: De Filippo, Massimo, Puglisi, Sara, D’Amuri, Fabiano, Gentili, Francesco, Paladini, Ilaria, Carrafiello, Gianpaolo, Maestroni, Umberto, Del Rio, Paolo, Ziglioli, Francesco, Pagnini, Francesco
• Format: Journal Article
• Language: English
• Published: Milan Springer Milan 01.12.2021; Springer Nature B.V
• Subjects: Abdominal Abscess - diagnostic imaging; Abdominal Abscess - surgery; Computed Tomography; Diagnostic Radiology; Drainage - methods; Humans; Imaging; Interventional Radiology; Literature reviews; Medicine; Medicine & Public Health; Neuroradiology; Radiography, Interventional - methods; Radiology; Tomography, X-Ray Computed - methods; Ultrasound; Viscera; Fluid collections; Percutaneous drainage; Pseudocyst; Interventional radiology; Abscess; CT guided
• ISSN: 0033-8362; 1826-6983
• DOI: 10.1007/s11547-021-01406-z

CT-guided percutaneous drainage is a safe and effective procedure that allows minimally invasive treatment of abdominopelvic abscesses and fluid collections. This technique has become an alternative for surgery with lower morbility and mortality rates. In this pictorial essay, we aim at providing an overview of the technical approaches, the main clinical indications and complications of CT-guided percutaneous drainage, in order to provide a practical guide for interventional radiologists, with a review of the recent literature. The focus will be the CT-guidance, preferred when the interposition of viscera, vascular and skeletal structures, counteracts the ultrasound guidance.