Post nephrectomy collection and CT guided drainage

Case contributed by Dr Ian Bickle

Presentation

Fever and loin pain 2 months after right nephrectomy for non-malignancy indication

Patient Data

Age: 30
Gender: Male

Right nephrectomy.

Intra-abdominal collection in the right flank, which is extending through the abdominal wall musculature into the subcutaneous tissues.

Patient reluctant for further surgery. The collection was poorly delineated on ultrasound. CT guided drainage performed.

Step-by-step images of CT guided Seldinger drainage, using CT fluroscopy

Case Discussion

CT guided percutaneous drainage is a minimally invasive technique. It is less commonly performed than ultrasound guided drainage, but has advantages particularly in certain locations like the retroperitoneum and in patients of large body habitus.

Most modern CT machines have fluoroscopy functions making the procedure most dynamic for the operator.

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Case information

rID: 22278
Case created: 24th Mar 2013
Last edited: 29th Aug 2016
Inclusion in quiz mode: Included

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