Open AccessPERCUTANEOUS DRAINAGE : AN EFFECTIVE AND LESS AGRESSIVE APPROACH FOR COMPLICATED DIVERTICULAR ABSCESS
Author(s) -
Mohamadou Lamine Guèye,
Jaafar Ibn Abu Talib Thiam,
Abdou Niasse,
Ousmane Thiam,
Hamidou Deme,
Mamadou Seck,
Alpha Oumar Touré,
Cheikh Tidiane Touré
Publication year - 2017
Publication title -
international journal of surgery and medicine/international journal of surgery and medicine
Language(s) - English
Resource type - Journals
eISSN - 2367-7414
pISSN - 2367-699X
DOI - 10.5455/ijsm.diverticular-abscess
Subject(s) - medicine , percutaneous , surgery , diverticulitis , abscess , diverticular disease , drainage , general surgery , colorectal surgery , abdominal surgery , ecology , biology
Retroperitoneal abscess is a serious complication of diverticular disease. Its management involves several options, ranging from conservative management to surgery. Elective colectomy is most often thought to be mandatory after a percutaneous drainage given the high rate of recidive. However, in patients with high risk for surgery, percutaneous drainage is often the main therapeutic alternative. We report a case of a 80-year-old woman, who was diagnosed to have a retroperitoneal abscess complicating a sigmoid diverticulitis. Ultrasound-guided percutaneous drainage allowed to drain 1500cc of pus and gas. The cytobacteriological examination was positive for: Streptococcus spp and Alkalescens dispar. The therapeutic outcomes were uneventful and despite we did not realize a colectomy because the patient was at high risk for surgery, there was no recidive after a 2-year-follow-up period. Percutaneous drainage can be a therapeutic alternative in patients with high risk for surgery in diverticular abscess of big size