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Congress: ECR25
Poster Number: C-11044
Type: Poster: EPOS Radiologist (educational)
Authorblock: M. P. Ramalho, A. Berbel, L. Paredes Velazquez, J. M. Gómez Sousa, C. Estevez Ruiz, M. Otero Garcia; Vigo/ES
Disclosures:
Mariana Pontes Ramalho: Nothing to disclose
Andrea Berbel: Nothing to disclose
Laura Paredes Velazquez: Nothing to disclose
Jose Manuel Gómez Sousa: Nothing to disclose
Celia Estevez Ruiz: Nothing to disclose
Milagros Otero Garcia: Nothing to disclose
Keywords: Abdomen, Emergency, CT, Ultrasound, Education, Infection
Learning objectives To review the different imaging modalities for diagnosing the main etiologies of abdominal sepsis. The main imaging findings in each of the abdominal infection pathologies.
Read more Background Abdominal sepsis is a life-threatening condition, and early treatment is fundamental for prognosis and survival. The management of this pathology is based on the initial stabilization of the patient and, on many occasions, is continued with the performance of an imaging test.Thus, the radiologist plays a fundamental role in the early diagnosis of the infectious focus and its evolutionary control.In the emergency context, computed tomography (CT) is the most used imaging modality due to its speed, and, on some occasions,...
Read more Findings and procedure details There is a large spectrum of pathologies caused by infection and inflammation in the abdominal cavity, often due to perforation, ischemia, or post-surgical complications that are responsible for abdominal sepsis, and being familiar with the major imaging findings and modalities is fundamental for an accurate diagnosis.1. Imaging Modalities: CT and US 2. The most common pathologies:2.1. Digestive and hepatobiliary:2.1.1. Hepatic abscessThe hepatic abscesses are collections of necrotic inflammatory tissue caused by parasites, fungi, or bacteria (most common), normally affecting patients who...
Read more Conclusion Abdominal sepsis requires a multidisciplinary approach, and radiologists play a key role in rapid diagnosis and minimally invasive management. The CT and the ultrasound are the main imaging tests used for the diagnosis of abdominal sepsis, so it is of fundamental importance to be familiar with the main etiologies of abdominal infection and their imaging findings since early diagnosis and targeted treatment are the best predictors of survival in this clinical setting. Early imaging saves lives. Collaboration with surgical & critical...
Read more References 1IDSA 2024 guideline update on the risk assessment, diagnostic imaging, and microbiological evaluation of complicated intra-abdominal infections in adults, children, and pregnant people [Internet]. Idsociety.org. [citado el 7 de febrero de 2025]. Disponible en: https://www.idsociety.org/practice-guideline/intra-abdominal-infections/ Borruel Nacenta S, Ibáñez Sanz L, Sanz Lucas R, Depetris MA, Martínez Chamorro E. Actualización de la apendicitis aguda: hallazgos típicos y atípicos. Radiologia [Internet]. 2023;65:S81–91. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S003383382200203X Sugi MD, Sun DC, Menias CO, Prabhu V, Choi HH. Acute diverticulitis: Key features for guiding clinical management....
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