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Percutaneous Drainage of Abdominal Abscesses in Pediatric Crohn's Disease

Françoise Rypens1, Josée Dubois1, Laurent Garel1, Colette Deslandres2 and Dickens Saint-Vil3

1 Department of Medical Imaging, Sainte-Justine Mother-Child University Hospital, 3175 Cote Sainte-Catherine Rd., Montreal, QC H3T 1C5, Canada.
2 Department of Pediatrics, Division of Gastroenterology, Sainte-Justine Mother-Child University Hospital, Montreal, QC H3T 1C5, Canada.
3 Department of Surgery, Sainte-Justine Mother-Child University Hospital, Montreal, QC H3T 1C5, Canada.


Figure 1
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  		Fig. 1A —17-year-old girl (patient 9 in Table 1) with Crohn's disease. Enhanced CT scans show multiloculated abscess in right lower quadrant and pelvis (arrowheads).

 

Figure 2
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  		Fig. 1B —17-year-old girl (patient 9 in Table 1) with Crohn's disease. Enhanced CT scans show multiloculated abscess in right lower quadrant and pelvis (arrowheads).

 

Figure 3
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  		Fig. 1C —17-year-old girl (patient 9 in Table 1) with Crohn's disease. Corresponding to slice shown in A, image obtained after 5 days of percutaneous drainage shows regression of collections. Drain (arrows) is still in place.

 

Figure 4
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  		Fig. 1D —17-year-old girl (patient 9 in Table 1) with Crohn's disease. Enhanced CT scan obtained after catheter withdrawal shows only residual fatty infiltration.

 

Figure 5
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  		Fig. 2A —13-year-old girl (patient 14 in Table 1) with Crohn's disease. Enhanced CT scan shows large collection inside Douglas pouch (arrows). B = bladder.

 

Figure 6
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  		Fig. 2B —13-year-old girl (patient 14 in Table 1) with Crohn's disease. CT scan obtained during percutaneous drainage; posterior drainage pathway was used.

 

Figure 7
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  		Fig. 2C —13-year-old girl (patient 14 in Table 1) with Crohn's disease. Enhanced CT scan obtained 3 days after percutaneous abscess drainage when no more liquid could be drained by catheter (arrow).

 

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