We reviewed 21-surgically and 17 percutaneously drained abdominal abscesses at Yong Dong Severance Hospital, Yonsel University College of Medicine from March 1983 to January 1990.
@ES The results were as follow:
@EN 1) The most common location of abscesses was right paracolic (25.0%), followed by subhepatic (22.2%), right subphrenic 919.4%), left subphrenic (19.4%) and lesser sac space (11.1%).
2) The most common causative aerobic microorganism was E. coli, followed by Streptococcus, Enterococcus, Klebsiella and the most common anaerobic microorganism was Bacteroides fragilis, followed by Peptostreptococcus, Bifidobacterium.
3) The most common cause of pyogenruc abscesses was postoperative complication (58.3%), followed by original intraperitoneal disease without operation (22.2%), trauma (5.6%).
4) Among the total 36 cases, we had 95.2% success rate with 21 cases drained surgically, 76.4% success rate with 17 cases drained percutaneously.
We conclude that if percutaneous drainage is possible, percutaneous drainage under US or CT guide is an effective method for treatment of intraabdominal abscesses and avoids the risks of a major opoerative procedure.
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