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Digestive Disease Interventions 2023; 07(03): 187-201
DOI: 10.1055/s-0042-1759547
Review Article

Percutaneous Image-Guided Drainage of Abdominal Fluid Collections in Children: Technical Considerations and Clinical Scenarios

Sebastian Gallo-Bernal
1   Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
2   Department of Radiology, Harvard Medical School, Boston, Massachusetts
,
Alexis M. Cahalane
1   Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
2   Department of Radiology, Harvard Medical School, Boston, Massachusetts
,
Michael S. Gee
1   Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
2   Department of Radiology, Harvard Medical School, Boston, Massachusetts
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Abstract

While initially conceived and designed for adults, percutaneous image-guided drainage of abdominal pelvic and fluid collections has revolutionized the management of several pediatric pathologies. Interventional radiology procedures markedly reduce morbidity and mortality by offering a definitive minimally invasive approach or allowing a cleaner and less challenging subsequent open approach. These procedures are associated with improved patient comfort and rapid recovery. While similar techniques apply to children and adults, successful adaptation of image-guided interventional techniques in children requires consideration of several critical differences. This review aims to discuss the indications, contraindications, and technical aspects of percutaneous image-guided drainage of abdominal and pelvic fluid collections in children.

Keywords

pediatric - fluid collections - drainage


Publication History

Received: 21 March 2022

Accepted: 27 October 2022

Article published online:
30 November 2022

© 2022. Thieme. All rights reserved.

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