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Diagnosis and Therapy of Liquid Collections Under Ultrasound Control

Received: 11 November 2020     Accepted: 7 December 2020     Published: 17 November 2021
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Abstract

Purpose: We present our experience in the diagnosis, follow-up and planning therapy of thoracic, abdominal and retroperitoneal liquid collections in different emergency patients using conventional and interventional ultrasound. Material and Methods: The right and left oblique and poly positionning view was used in 235 patients (159 male and 76 female) for US examination to identify fluids in the thorax and peritoneal or retroperitoneal space. The examination was performed after the clinical survey with patients supine. Positive findings of US were compared with those provided by CT, punctures under US control or surgery. US machine supplied with linear and convex transducers, CT machine, needles and catheters were used. Results: 197 of all 235 US examined patients had fluid collections, confirmed by CT scan, surgery or clinival course. In 156 patients we performed FN diagnostic punctures under US control. There was 155 true-positives, 25 true-negatives, 5 false-positives and 2 false-negative results. Overall this demonstrated that ultrasonography hamaunt of d a sensitivity of 98.72%, specificity of 83.33% and accuracy of 96.25%. The PPV is 96.87% and the NPV – 92.59%. Conclusions: Our experience and literature reports support the opinion that US examination can and should be used as a primary method for diagnosis and follow-up of clinically suspected free and organaised fluids in the thorax, abdomen and retroperitoneum.

Published in European Journal of Clinical and Biomedical Sciences (Volume 7, Issue 5)
DOI 10.11648/j.ejcbs.20210705.12
Page(s) 81-85
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Thoracic, Abdominal and Retroperitoneal Liquid Collections, US Examination, CT Machine, Interventional Procedures

References
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[2] Joel Cho, MD RDMS RDCS, Trevor P. Jensen, MD MS, Kreegan Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine Published Online Only January 2, 2019. doi: 10.12788/jhm.3095 | 10.12788/jhm.3095.
[3] Joel Cho, MD RDMS RDCS, Trevor P. Jensen, MD MS, Kreegan 29 Intra-Abdominal Fluid Collections, 2020, 10.1055/b-0038-1629002.
[4] Brian C Allen, Huiman Barnhart, Mustafa Bashir, Christopher Nieman, Steven Breault, Tracy A JaffeDiagnostic accuracy of intra-abdominal fluid collection characterization in the era of multidetector computed tomography, Am Surg. 22 Feb; 78 (2): 185-9.
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[9] M. Valentino, C. Sera, G. Zironi, C. De Luca, P. Pavlica, and L. Barozzi. Blunt Abdominal Trauma: Emergency Contrast-Enhanced Sonography for Detection of Solid Organ Injuries. Am. J. Roentgenol., May 1, 2006; 186 (5): 1361-1367.
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[13] Cassia Lemos Moura, Priscila Pulita Azevedo Barros, Cristiane Mota Oliveira, Rogerio Colaiácovo, Juliana Marques Drigo, Augusto Pincke Cruz Carbonari, Tercio de Campos, Lucio Giovani Batista Rossini, Minimally invasive endoscopic treatment of necrotizing pancreatitis: A case report with images and review of the literature, Rev. Assoc. Med. Bras. Vol. 63 no. 3 SãoPaulo Mar. 2017 http://dx.doi.org/10.1590/1806-9282.63.03.207
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  • APA Style

    Atanas Dimitrov Hilendarov, Alexandar Asenov Georgiev, Lyubomir Georgiev Chervenkov. (2021). Diagnosis and Therapy of Liquid Collections Under Ultrasound Control. European Journal of Clinical and Biomedical Sciences, 7(5), 81-85. https://doi.org/10.11648/j.ejcbs.20210705.12

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    ACS Style

    Atanas Dimitrov Hilendarov; Alexandar Asenov Georgiev; Lyubomir Georgiev Chervenkov. Diagnosis and Therapy of Liquid Collections Under Ultrasound Control. Eur. J. Clin. Biomed. Sci. 2021, 7(5), 81-85. doi: 10.11648/j.ejcbs.20210705.12

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    AMA Style

    Atanas Dimitrov Hilendarov, Alexandar Asenov Georgiev, Lyubomir Georgiev Chervenkov. Diagnosis and Therapy of Liquid Collections Under Ultrasound Control. Eur J Clin Biomed Sci. 2021;7(5):81-85. doi: 10.11648/j.ejcbs.20210705.12

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  • @article{10.11648/j.ejcbs.20210705.12,
      author = {Atanas Dimitrov Hilendarov and Alexandar Asenov Georgiev and Lyubomir Georgiev Chervenkov},
      title = {Diagnosis and Therapy of Liquid Collections Under Ultrasound Control},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {7},
      number = {5},
      pages = {81-85},
      doi = {10.11648/j.ejcbs.20210705.12},
      url = {https://doi.org/10.11648/j.ejcbs.20210705.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20210705.12},
      abstract = {Purpose: We present our experience in the diagnosis, follow-up and planning therapy of thoracic, abdominal and retroperitoneal liquid collections in different emergency patients using conventional and interventional ultrasound. Material and Methods: The right and left oblique and poly positionning view was used in 235 patients (159 male and 76 female) for US examination to identify fluids in the thorax and peritoneal or retroperitoneal space. The examination was performed after the clinical survey with patients supine. Positive findings of US were compared with those provided by CT, punctures under US control or surgery. US machine supplied with linear and convex transducers, CT machine, needles and catheters were used. Results: 197 of all 235 US examined patients had fluid collections, confirmed by CT scan, surgery or clinival course. In 156 patients we performed FN diagnostic punctures under US control. There was 155 true-positives, 25 true-negatives, 5 false-positives and 2 false-negative results. Overall this demonstrated that ultrasonography hamaunt of d a sensitivity of 98.72%, specificity of 83.33% and accuracy of 96.25%. The PPV is 96.87% and the NPV – 92.59%. Conclusions: Our experience and literature reports support the opinion that US examination can and should be used as a primary method for diagnosis and follow-up of clinically suspected free and organaised fluids in the thorax, abdomen and retroperitoneum.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Diagnosis and Therapy of Liquid Collections Under Ultrasound Control
    AU  - Atanas Dimitrov Hilendarov
    AU  - Alexandar Asenov Georgiev
    AU  - Lyubomir Georgiev Chervenkov
    Y1  - 2021/11/17
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejcbs.20210705.12
    DO  - 10.11648/j.ejcbs.20210705.12
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 81
    EP  - 85
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20210705.12
    AB  - Purpose: We present our experience in the diagnosis, follow-up and planning therapy of thoracic, abdominal and retroperitoneal liquid collections in different emergency patients using conventional and interventional ultrasound. Material and Methods: The right and left oblique and poly positionning view was used in 235 patients (159 male and 76 female) for US examination to identify fluids in the thorax and peritoneal or retroperitoneal space. The examination was performed after the clinical survey with patients supine. Positive findings of US were compared with those provided by CT, punctures under US control or surgery. US machine supplied with linear and convex transducers, CT machine, needles and catheters were used. Results: 197 of all 235 US examined patients had fluid collections, confirmed by CT scan, surgery or clinival course. In 156 patients we performed FN diagnostic punctures under US control. There was 155 true-positives, 25 true-negatives, 5 false-positives and 2 false-negative results. Overall this demonstrated that ultrasonography hamaunt of d a sensitivity of 98.72%, specificity of 83.33% and accuracy of 96.25%. The PPV is 96.87% and the NPV – 92.59%. Conclusions: Our experience and literature reports support the opinion that US examination can and should be used as a primary method for diagnosis and follow-up of clinically suspected free and organaised fluids in the thorax, abdomen and retroperitoneum.
    VL  - 7
    IS  - 5
    ER  - 

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Author Information
  • Department of Diagnostic Imaging, Faculty of Medicine, Medical University, Plovdiv, Bulgaria

  • Department of Diagnostic Imaging, Faculty of Medicine, Medical University, Plovdiv, Bulgaria

  • Department of Diagnostic Imaging, Faculty of Medicine, Medical University, Plovdiv, Bulgaria

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