CT-guided abscess drainage sample dictation

From RadsWiki

Jump to: navigation, search

Procedure: CT-guided abscess drainage.

Radiologists: []

History: []


After informed consent was obtained the patient was placed [supine] on the CT table. Initial images of the [lower abdomen] were obtained. The puncture site was marked on the patient's skin and 1% lidocaine was administered. Using a 19 gauge needle and under CT guidance the [right lower quadrant] collection was punctured via a [right posterior] approach. A J-wire was threaded through the needle into the collection.

After serial dilatations a [12] French APD was placed within the collection and sutured to the patient's skin with 2-0 silk.


Initial CT images demonstrate [the patient status post right hemicolectomy with an ileocolonic anastomosis and an adjacent air-containing collection in the right lower quadrant].

Final images demonstrate the [12] French APD within this collection.

Approximately [200] cc of [purulent] fluid was aspirated and a sample was sent for culture and sensitivity.

The patient tolerated the procedure well without complications.

Dr. [], the attending interventional radiologist, was present for the critical portions of the procedure and reviewed all images obtained.

Medications: Versed [] mg IV, Fentanyl [] mcg IV


Successful CT-guided drainage of the [right lower quadrant] collection. The catheter was left to gravity drainage. Cultures pending.