Document Detail

Efficacy of abdominal computed tomography in evaluation of possible abdominal abscess.
MedLine Citation:
PMID:  3698626     Owner:  NLM     Status:  MEDLINE    
A retrospective analysis was made of all abdominal computed tomography scans performed because of clinical suspicion of an abscess at our institution over a 12-month period. Of 130 patients examined, 45 patients had had abdominal surgery within the previous 2-week period. Of these patients, 14 were found to have abscesses on computed tomography, with three known false-negative studies. An additional nine patients had sterile postoperative collections. Nine patients had had an abdominal abscess previously diagnosed, and five of these had a residual abscess. A total of seven abscesses were found by computed tomography in 76 patients who had had no surgery in the previous 2 weeks, with one known false-negative study. High-risk categories of nonoperative patients were identified. Only one positive study occurred in a patient without a high clinical index of suspicion for an intraabdominal abscess, although a total of 50 patients fell into this low-risk, nonoperative category. The cost-effectiveness of computed tomography studies in such low-risk patients is questioned.
M R Paling; J C Gouse
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of computed tomography     Volume:  10     ISSN:  0149-936X     ISO Abbreviation:  J Comput Tomogr     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-06-06     Completed Date:  1986-06-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7805373     Medline TA:  J Comput Tomogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  111-4     Citation Subset:  IM    
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MeSH Terms
Abscess / radiography*
Child, Preschool
Evaluation Studies as Topic
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed*

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