Place de l’imagerie diagnostique et thérapeutique au cours des complications locales des diverticulites sigmoïdiennes Hinchey II
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- 作者：A. David ; O. Morla ; F. Douane ; J. Meyer ; E. Frampas
- 关键词：Mots clésAbcès ; Diverticulite ; Tomodensitométrie abdominale ; Drainage radiologique
- 刊名：Côlon & Rectum
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：11
- 期：1
- 页码：13-18
- 全文大小：
- 刊物主题：Medicine/Public Health, general; Proctology; Gastroenterology; Colorectal Surgery; Surgery; Imaging / Radiology;
- 出版者：Lavoisier
- ISSN：1951-638X
- 卷排序：11
文摘
Pericolic abscess is a significant complication of colonic diverticulitis that occurs in 15 to 40% of the cases. CT-scan is the gold standard for the diagnosis with 95% of positive predictive value. Since the last ten years, amount of publications have reported experiences of CT-guided drainage of pericolic abscesses. Despite a retrospective design, series always conclude that this minimally invasive approach is effective in improving management of complicated diverticulitis. Cohort studies demonstrated a significant increase of abscesses drainages and decrease in emergency surgery. Failure of drainage occurs in 15 to 30% of the cases, usually due to recurrent abscess and colonic fistula. Complications occur in 2,5% with small bowel injury and hemorrhage.