Over a 5 year period, 89 @entity1 underwent one or more computerized tomographic scans to locate an @entity733 during 92 hospitalizations. The scans were a most sensitive (93 percent), specific (98 percent), and accurate (96 percent) means of @entity733 . Thirty-nine @entity1 had positive scans. Sixteen @entity1 were treated directly by open surgical methods, 1 of whom required percutaneous drainage in the postoperative period for incomplete drainage. An additional 23 @entity1 underwent attempted percutaneous @entity733 . In 17 @entity1 , drainage was successful. Five @entity1 underwent percutaneous drainage and later required laparotomy, two of whom underwent unavoidable surgical procedures and three surgery for incomplete drainage. Overall, percutaneous @entity733 was successful in 83 percent. Of 11 @entity204 , 8 occurred in the group with computerized tomographic scans negative for @entity733 . Three of these were false-negative scans. Three @entity204 occurred in the group with scans positive for @entity733 . All were of @entity1 with @entity99 treated by open surgical drainage, one after failed percutaneous drainage. Twelve @entity1 had @entity881 , and 8 of these @entity1 died, for a mortality of 67 percent. The computerized tomographic scan is the diagnostic procedure of choice in the diagnosis of @entity733 . In selected @entity1 , percutaneous @entity733 is also a successful means of @entity733 treatment and avoids the complications of a laparotomy. The onset of @entity881 in the surgical @entity1 should alert the diagnostician to the possibility of a septic focus. The role of early laparotomy in these @entity1 is uncertain. We recommend early use of the computerized tomographic scan in the septic surgical @entity1 . Prompt diagnosis and treatment of @entity733 , whether by open or percutaneous routes, may avert the development of @entity881 and reduce morbidity and mortality.

Use of the computerized tomographic scan in the diagnosis and treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic abscesses'] @entity733 :: ('MESH:D000038', 'Disease') :: ['abscesses', 'abscess drainage', 'abscess', 'abscess detection'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multiple organ failure'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths']
@entity733 :: (MESH:D000038,Disease) :: ['abscesses']
