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Retroperitoneal Abscesses: Origin, Ethiology And Percutaneous Treatment [Eastern J Med]
Eastern J Med. 2018; 23(4): 269-274 | DOI: 10.5505/ejm.2018.69875  

Retroperitoneal Abscesses: Origin, Ethiology And Percutaneous Treatment

Rahmi Aslan1, Mesut Özgokce2, Recep Eryılmaz1, Mehmet Arif Duran1, Murat Yıldızhan3, Kerem Taken1
1Department Of Urology,yüzüncü Yıl University Medical Faculty, Van, Turkey
2Department Of radyology,yüzüncü Yıl University Medical Faculty, Van, Turkey
3Department Of radyology, Viransehir medikal Center sanlıurfa Turkey

INTRODUCTION: Purpose: Retroperitoneal abscess is a rare clinical condition that can cause mortality if not properly treated. In our study, we aimed to report the data of retroperitoneal abscess cases which performed percutaneous drainage in the first step treatment
METHODS: A retrospective study was made of 81 patients with retroperitoneal abscesses treated at our hospital from June 2010 to December 2017 for the purpose of analyzing the diagnosis and treatment of these rare infections. In each case, we analyzed patient characteristics, abscess location and origin, predisposing factors, clinical presentation, microbiology, radiographic findings, treatment, and outcome
RESULTS: 81 cases were identified as 11 (14%) primary and 70 (86%) as secondary. The majority (63%) of these abscesses were originated from Urinary System, while others were found to be originated from psoas, vertebral and Gastrointestinal system (GIS). Urolithiasis, previous surgery, and other Urinary system anomalies were determined to be the most common predisposing factors. Escherichia coli (E. coli) was the most commonly seen pathogen in abscess culture. In all patients, percutaneous drainage catheter was successfully placed in the abscess lodge. No serious complications occurred in patients during and after the procedure. 78/81 (96%) clinical success was achieved. In 12 months follow-ups, recurrence was seen in only 5 patients
DISCUSSION AND CONCLUSION: Percutaneous abscess drainage should be preferred in the treatment of retroperitoneal abscesses as easy to perform, cost effective, low complication risk and high success rate

Keywords: Retroperitoneal abscesses, Percutaneous drainage, Origin, Ethiology


Rahmi Aslan, Mesut Özgokce, Recep Eryılmaz, Mehmet Arif Duran, Murat Yıldızhan, Kerem Taken. Retroperitoneal Abscesses: Origin, Ethiology And Percutaneous Treatment. Eastern J Med. 2018; 23(4): 269-274

Corresponding Author: Rahmi Aslan, Türkiye


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