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pubmed-article:8583440pubmed:abstractTextThe clinical records of 45 patients with suspected intra-abdominal sepsis but without localizing abdominal signs were retrospectively reviewed. All had undergone both indium-111 leucocyte scintigraphy and real time ultrasound. Twenty-two of the 45 patients were subsequently shown to have intra-abdominal abscesses. Twenty-one patients were identified correctly by indium-111 scintigraphy (sensitivity 95%) and 10 by ultrasound (US: sensitivity 45%). There were two false positive scintiscans (specificity 91%) but no false positive US scans (specificity 100%). There was no correlation between the peripheral white cell count and the presence of absence of an abscess or the likelihood of obtaining a positive scintiscan result. Because of the excellent specificity ultrasound scanning should remain the initial investigations in this group of critically ill patients with indium-111 scintigraphy being used to clarify the US findings or in US negative patients.lld:pubmed
pubmed-article:8583440pubmed:languageenglld:pubmed
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pubmed-article:8583440pubmed:statusMEDLINElld:pubmed
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pubmed-article:8583440pubmed:issn0035-8835lld:pubmed
pubmed-article:8583440pubmed:authorpubmed-author:GrayH WHWlld:pubmed
pubmed-article:8583440pubmed:authorpubmed-author:AndersonJ RJRlld:pubmed
pubmed-article:8583440pubmed:authorpubmed-author:McKillopJ HJHlld:pubmed
pubmed-article:8583440pubmed:authorpubmed-author:CarterC RCRlld:pubmed
pubmed-article:8583440pubmed:authorpubmed-author:StewartI SISlld:pubmed
pubmed-article:8583440pubmed:issnTypePrintlld:pubmed
pubmed-article:8583440pubmed:volume40lld:pubmed
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pubmed-article:8583440pubmed:pagination380-2lld:pubmed
pubmed-article:8583440pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:8583440pubmed:year1995lld:pubmed
pubmed-article:8583440pubmed:articleTitleIndium-111 leucocyte scintigraphy and ultrasound scanning in the detection of intra-abdominal abscesses in patients without localizing signs.lld:pubmed
pubmed-article:8583440pubmed:affiliationUniversity Department of Surgery, Royal Infirmary, Alexandra Parade, Glasgow, UK.lld:pubmed
pubmed-article:8583440pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:8583440pubmed:publicationTypeComparative Studylld:pubmed