Usman Omer, Imtiaz Abdullah, Basit Muhammad A, Tariq Maham, Mujahid Rehaab, Khan Muhammad W, Prakash Vishakh, Rehman Obaid U
Department of Internal Medicine, Texas Tech University Health Sciences Center El Paso, The Hospital of Providence-Transmountain, TX, USA.
Department of Internal Medicine, Vassar Brother Medical Center, NY, USA.
J Community Hosp Intern Med Perspect. 2025 May 5;15(3):30-37. doi: 10.55729/2000-9666.1474. eCollection 2025.
The inflammation of the diverticular pouch is called acute diverticulitis which can result in abscess formations sometimes. Percutaneous drainage is routinely considered for the management of diverticular abscesses. Being a minimally invasive procedure employed for the removal of large collections of infected fluid from the abscesses, percutaneous drainage emerged as an appealing option. Historically, surgical removal of the abscesses has resulted in multiple hospitalizations and an increased burden on healthcare resources. With the advancement in radiological techniques, CT-guided percutaneous drainage of diverticular abscesses ensured enhanced patient satisfaction and reduced healthcare costs. The choice between surgery or percutaneous drainage of diverticular abscess remains a matter of debate among physicians. The outcomes of percutaneous drainage procedures are scattered across the literature. It is important to be familiar with the criteria regarding the choice of percutaneous drainage or colectomy during the management of diverticular abscesses. Percutaneous drainage can prevent emergent colectomy but it is not always a risk-free procedure. It can bring complications including persistent abscess, new onset abscess, abdominal wall abscess, and peritonitis. Therefore, a physician must prepare in advance to prevent these complications by selecting the right population for the procedure and ensuring good catheter care which involves readjusting the catheter, flushing the catheter and upgrading the size of the catheter. A physician not only prevents these complications but also effectively treats them. This review paper aims to summarize the important outcomes of percutaneous drainage of diverticular abscesses and their further management from a clinical standpoint.
憩室囊的炎症称为急性憩室炎，有时可导致脓肿形成。经皮引流通常被视为治疗憩室脓肿的方法。作为一种用于从脓肿中清除大量感染液的微创手术，经皮引流成为一种有吸引力的选择。从历史上看，手术切除脓肿会导致多次住院，并增加医疗资源负担。随着放射技术的进步，CT引导下经皮引流憩室脓肿可提高患者满意度并降低医疗成本。对于憩室脓肿，选择手术还是经皮引流在医生中仍存在争议。经皮引流手术的结果在文献中参差不齐。在憩室脓肿的治疗过程中，熟悉关于选择经皮引流或结肠切除术的标准很重要。经皮引流可以避免急诊结肠切除术，但它并非总是没有风险。它可能会带来包括持续性脓肿、新发脓肿、腹壁脓肿和腹膜炎等并发症。因此，医生必须提前做好准备，通过为手术选择合适的人群并确保良好的导管护理（包括重新调整导管、冲洗导管和扩大导管尺寸）来预防这些并发症。医生不仅要预防这些并发症，还要有效地治疗它们。这篇综述文章旨在从临床角度总结憩室脓肿经皮引流的重要结果及其进一步治疗。
