Radiologic diagnosis of an intra-abdominal abscess. Do multiple tests help
A review was made of the charts of 94 patients who underwent ultrasonography (US), computed tomography (CT), and gallium citrate Ga 67 (Gall) scan to rule out intra-abdominal abscesses. Of all the clinical and laboratory data, only the presence of pain and tenderness differentiated patients with and without abscesses. A review of radiologic data showed that CT was superior to US, and that US was superior to Gall scan with regard to sensitivity, specificity, accuracy, and positive and negative predictive values. When multiple radiologic tests were performed, results agreed in 72% of cases; therefore, the additional tests were essentially redundant. When radiologic test results disagreed, accuracy rates were CT, 0.86; US, 0.00; and Gall scan, 0.44. These findings suggest that, except to rule out pelvic abscesses in the presence of pelvic inflammatory disease, CT is usually the only special radiologic test that should be performed to localize a suspected intra-abdominal abscess.
- Research Organization:
- Loyola Univ. Medical Center, Maywood, IL
- OSTI ID:
- 5965458
- Journal Information:
- Arch. Surg. (Chicago); (United States), Vol. 1
- Country of Publication:
- United States
- Language:
- English
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ABDOMEN
COMPUTERIZED TOMOGRAPHY
SCINTISCANNING
ULTRASONOGRAPHY
ABSCESSES
DIAGNOSIS
ACCURACY
COMPARATIVE EVALUATIONS
DIGESTIVE SYSTEM DISEASES
DRAINAGE
GALLIUM 67
PATIENTS
PELVIS
BETA DECAY RADIOISOTOPES
BODY
BODY AREAS
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
DISEASES
ELECTRON CAPTURE RADIOISOTOPES
GALLIUM ISOTOPES
INTERMEDIATE MASS NUCLEI
ISOTOPES
NUCLEI
ODD-EVEN NUCLEI
PATHOLOGICAL CHANGES
RADIOISOTOPE SCANNING
RADIOISOTOPES
TOMOGRAPHY
550601* - Medicine- Unsealed Radionuclides in Diagnostics