Skip to main content
Log in

Computed tomography of intraperitoneal abscesses

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Eighty-seven patients with the clinical suspicion of an intraperitoneal abscess were examined by computed tomography. In 83 of these patients CT gave true positive or true negative results in reference to the diagnosis of local intraperitoneal fluids. The final diagnosis confirmed 28 abscesses in 26 patients. Most of these abscesses were in the left subphrenic space, the right subphrenic space, the right anterior subhepatic space, and the pelvis. The morphological criteria for intraperitoneal abscesses, shown by CT, are defined. Direct signs include form, impression on nonintestinal organs, density value, gas collection, pyogenic membrane, and infiltration in surrounding tissue. Indirect signs include ascites and pleural effusion and/or pulmonary infiltration. Differential diagnostic problems of intraperitoneal abscesses are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cottier H:Pathogenese Band II. Berlin: Springer-Verlag, 1981

    Google Scholar 

  2. Shepherd JA:Surgery of the Acute Abdomen. Edinburgh: Livingstone Ltd, 1960

    Google Scholar 

  3. Altemeier WA, Culbertson WR, Fullen WD, Shook CD: Intra-abdominal abscesses.Am J Surg 125:70–78, 1973

    Google Scholar 

  4. Aronberg DJ, Stanley RJ, Levitt RG, Sagel SS: Evaluation of abdominal abscess with computed tomography.J Comput Assist Tomogr 2:384–387, 1978

    Google Scholar 

  5. Callen PW: Computed tomographic evaluation of abdominal and pelvic abscesses.Radiology 131:171–175, 1979

    Google Scholar 

  6. Gerzof SG, Robbins AH, Birkett DH: Computed tomography in the diagnosis and management of abdominal abscesses.Gastrointest Radiol 3:287–294, 1978

    Google Scholar 

  7. Haaga JR, Alfidi RJ, Havrilla TR, Cooperman AM, Seidelmann FE, Reich NE, Weinstein AJ, Meaney TF: CT detection and aspiration of abdominal abscesses.AJR 128:465–474, 1977

    Google Scholar 

  8. Haaga JR, George C, Weinstein AJ, Cooperman AM: New interventional techniques in the diagnosis and management of inflammatory disease within the abdomen.Radiol Clin North Am 17:485–513, 1979

    Google Scholar 

  9. Wolverson MK, Jagennadharao B, Sundaram M, Joyce PF, Riaz MA, Shields JB: CT as a primary diagnosis method in evaluating intraabdominal abscess.AJR 133:1089–1095, 1979

    Google Scholar 

  10. Hübener KH, Schmitt WGH: Computertomographische Densitometrie des menschlichen Blutes. Einflu\ auf das Absorptionsverhalten von parenchymatösen Organen und Ergu\bildungen.Fortschr Röntgenstr 130:185–188, 1979

    Google Scholar 

  11. Hübener KH, Schmitt WGH: Die computertomographische Diagnostik von Absze\bildungen.Fortschr Röntgenstr 130:53–57, 1979

    Google Scholar 

  12. Biello DR, Levitt RG, Melson GL: The roles of gallium-67 scintigraphy, ultrasonography and computed tomography in the detection of abdominal abscesses.Sem Nucl Med 9:58–65, 1979

    Google Scholar 

  13. Korobkin M, Callen PW, Filly RA, Hoffer PB, Shimshak RR, Kressel HY: Comparison of computed tomography, ultrasonography and gallium-67 scanning in the evaluation of suspected abdominal abscess.Radiology 129:89–93, 1978

    Google Scholar 

  14. Norton L, Eule J, Burdick D: Accuracy of techniques to detect intraperitoneal abscess.Surgery 84:370–378, 1978

    Google Scholar 

  15. Taylor KJW, Sullivan DC, Wasson JFMcl, Rosenfield AT: Ultrasound and gallium for the diagnosis of abdominal and pelvic abscesses.Gastrointest Radiol 3:281–286, 1978

    Google Scholar 

  16. Triller J, Haertel M: Zur sonographisch-radiologischen Diagnostik abdominaler Abszesse.Fortschr Rontgenstr 128:739–745, 1978

    Google Scholar 

  17. Triller J, Fuchs WA:Abdominale Sonographie, Indikation — Information — Integration. Stuttgart: Georg Thieme Verlag, 1980

    Google Scholar 

  18. Bertrand A, Chatel JF, de Tovar X, Heldenstein G, Henry P, Lafforgue D, Therain F: IntérÊt du citrate de gallium 67 dans le diagnostic et la localisation des abcès profonds de l'abdomen.Nouv Presse Méd 7:1179–1183, 1978

    Google Scholar 

  19. Ascher NL, Ahrenholz DH, Simmons RL, Weiblen B, Gomez L, Forstrom LA, Frick MP, Henke C, McCullough J: Indium 111-autologous tagged leukocytes in the diagnosis of intraperitoneal sepsis.Arch Surg 114:386–391, 1979

    Google Scholar 

  20. Knochel JQ, Koehler PR, Lee TG, Welch DM: Diagnosis of abdominal abscesses with computed tomography, ultrasound and 111-In leukocyte scans.Radiology 137:425–432, 1980

    Google Scholar 

  21. Schneekloth G, Haertel M, Fuchs WA: Ultrasonographie und Computertomographie des Abdomens: Indikation und Wertigkeit.Ther Umsch 36:954–972, 1979

    Google Scholar 

  22. Taylor KJW, Wasson JFMcl, deGraaff C, Rosenfield AT, Andriole VT: Accuracy of grey-scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients.Lancet 1:83–84, 1978

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schneekloth, G., Terrier, F. & Fuchs, W.A. Computed tomography of intraperitoneal abscesses. Gastrointest Radiol 7, 35–41 (1982). https://doi.org/10.1007/BF01887603

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01887603

Key words

Navigation