Ct of abdominal abscess with fistulous communication to the gastrointestinal tract

Tatsuro Fukuya, Donald Hawes, Charles C. Lu, Thomas J. Barloon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

We review CT of 24 cases of intraabdominal abscess with fistulous communication to the GI tract confirmed by GI contrast study or fistulogram. Underlying causes of fistulization included recent GI tract surgery (13), diverticulitis (four), unknown etiology (three), malignant neoplasm (two), trauma (one), and pancreatitis (one). Thirteen (54%) abscesses showed air-fluid levels, 14 (58%) showed air bubbles, and seven (29%) showed both. Bowel contrast material was administered in 21 cases, and optimal bowel opacification was effected in 16. However, contrast extravasation into the abscess was noted in only six cases. We conclude that an air-fluid level may indicate the presence of a fistulous communication to the GI tract, but its absence does not necessarily mean there is no communication. Also, recognition of contrast within the abscess is uncommon even with optimal bowel opacification. In cases of clinical suspicion of internal fistula, a fistulogram or GI contrast study should be performed.

Original languageEnglish (US)
Pages (from-to)445-449
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume15
Issue number3
StatePublished - 1991
Externally publishedYes

Fingerprint

Abdominal Abscess
Abscess
Gastrointestinal Tract
Air
Diverticulitis
Pancreatitis
Contrast Media
Fistula
Wounds and Injuries
Neoplasms

Keywords

  • Abdomen
  • Abscess-Fistula
  • Fistulas-Computed tomography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Ct of abdominal abscess with fistulous communication to the gastrointestinal tract. / Fukuya, Tatsuro; Hawes, Donald; Lu, Charles C.; Barloon, Thomas J.

In: Journal of Computer Assisted Tomography, Vol. 15, No. 3, 1991, p. 445-449.

Research output: Contribution to journalArticle

Fukuya, Tatsuro ; Hawes, Donald ; Lu, Charles C. ; Barloon, Thomas J. / Ct of abdominal abscess with fistulous communication to the gastrointestinal tract. In: Journal of Computer Assisted Tomography. 1991 ; Vol. 15, No. 3. pp. 445-449.
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