The differential diagnosis of hand infections is difficult because hand infections can manifest with variable clinical presentations due to the unique anatomic structures of the hand, and the significance of these infections is often overlooked. A horseshoe abscess is a rare type of deep space infection that can occur due to extension of infection through communications between the deep spaces of the hand. Although horseshoe abscesses are well known due to their anatomic characteristics, there are few clinical reports of such occurrences. Such a case has not been reported in the Korean literature. Here we report a case of horseshoe abscess of the hand after local steroid injection.
Abscess* ; Diagnosis, Differential ; Hand*

Research on 101 patients files of lung abcess patients were treated in Respiratory department of Bach Mai hospital from 1999 to 2003, the results showed that: male patients: 63.3%, the age ≥30: 79.2%, manual labours: 72.3%. Being hospitalized reasons: high fever: 31.7%, chest pains: 29.75, pus spit: 26.7%. The most clinical patients: cough: 100%, chest pain: 91.1%, dyspnea: 57.4%; Absent frmitus, dullness and absent breath sound in: 60.4%, crackle: 57.4%. In chest xray, lessions on the right lung: 75.5%, lower lobe: 65.3%, 90.6% of patients had 1 lession. Air-fluid level was observered in 54.1%. Leukocyte in peripheral blood increase 79.2%, rate of neuter multikernel leukocyte increase 81.2%, blood deposit speed increase 100%.
Diagnosis ; Lung Abscess ; Therapeutics

In 1999-2003 year period, at Viet Duc hospital, 120 cases of anus absceses including side anus abscesses, anus fistulae and anus split fistulae were studied. Results showed an increasing number of surgical cases of the conditions, their majority was male subjects in effective age with typical symptoms of pain at the anus, fever, hot and red swelling mass in the side, commonly in posterior side operation of an unique time give good results, among them, the drainage incision accounted simply for majority
Diagnosis ; Therapeutics ; Abscess

Although the ultrasonography has been regarded as a important procedure in the diagnosis of intraabdominalabscess, there were relatively few papers concerning the ultrasonographic findings of periappendiceal abscess.Nineteen cases of surgically proven periappendiceal abscess caused by perforated appendicitis were studied byultrasonography at the Kyung Hee University Hospital during last 34 months. The results were as follows; 1.Diagnostic accuracy of the real-time ultrasonography was 94.7%(18/19). There were only one false positive and onefalse negative. 2. The location of abscesses were ; periappendiceal 68.4%(13/19), pelvic 21.0%(4/19), subhepatic5.3%(1/19) and subphrenic 5.3%(1/19) in order of frequency. 3. Variable echo-patterns of abscesses wereencountered. But irregular, thick walled, posteriorly reinforcing, echo-free or mixed echo-patterns were mostcommon.
Abscess ; Appendicitis ; Diagnosis ; Ultrasonography

A bartholin gland cysts and abscesses are common problems in women of reproductive age. Although the cysts are usually asymptomatic, they may become enlarged or infected and cause significant pain. Bartholin gland abscesses usually develop over two to four days and can become larger than 8 cm by literature but huge bartholin abscess is very rare. A number of vulvar and vaginal lesions can mimic bartholin gland cysts or abscesses and should be included in the differential diagnosis. So we report a case of hemorrhagic huge bartholin abscess with a brief review of the literatures.
Abscess* ; Diagnosis, Differential ; Female ; Humans

Tuboovarian abscess associated with pregnancy is not commonly reported. Diagnosis may be difficult if the obstetrician is not aware that this condition can occur during pregnancy. The diagnosis is often made at laparotomy by a physician expecting appendicitis or another inflam-matory condition. A case of ruptured tuboovarian abscess on 34 weeks' gestation of pregnancy was presented and reviewed briefly.
Abscess* ; Appendicitis ; Diagnosis ; Laparotomy ; Pregnancy*

Splenic abscess is a rare clinical condition, and treatment is difficult due to atypical clinical symptoms. Two patients with splenic abscess treated at HCMC University Medical Center from September 2002 to October 2004. Symptoms included fever and abdominal pain of the left upper quadrant. Ultrasonography as initial investigation in both cases, followed by CT scan in one, is necessary for the diagnosis. Splenectomy was the definitive therapeutic option with good results, and there was no complication and mortality
Splenic Diseases ; Abscess ; Diagnosis ; Therapeutics

PURPOSE: To identify the four layers based on intranodular vascular nature visible in multiphase incremental bolus dynamic CT and to determine any differential points according to various factors of liver abscess with this vascular nature or not. MATERIALS AND METHODS: We categonized 29 cases of confirmed liver abscess into three different groups according to presence of four layers visible in early phase(arterial phase) of CT. Three groups were compared in regard to the results of antiamebic antibody test and bacteriologic study and presense of cholangitic abscess and internal septation. RESULTS: We could separate four layers, innermost hypodense central cavitary lesion, hyperdense granular tissue, hypodense abscess wall and outermost hyperdense compensatory hypervascular zone in 18 cases(62%), only two layers, cavity and wall in six cases(21%), and characteristically we could find three layers without innermost cavitary lesion in five cases(17%). But we couldn't find significant correlations between various clinical factors of liver abscess and our vascular groups. CONCLUSION: Our method of CT could represent four layers based on vascularity in 62% of cases. And also could find the unusual inflammatory mass containing three layer which must be differentiated from other malignant solid mass. But we couldn't find differential point between various clinical factor of liver abscess and imaging diagnosis. We think that with the improvement of hardware such as spiral CT, identification of four layers will be earier and will be very helpful in early detection and proper treatment planning of liver abscess.
Abscess* ; Diagnosis ; Liver Abscess* ; Liver* ; Tomography, Spiral Computed

PURPOSE: To analyze the imaging features of brain abscess. MATERIALS AND METHODS: MR studies of nine patients with surgically verified brain abscess were retrospectively reviewed. RESULTS: The shape of abscesses were round(n=6), multilobulated(n=2) or triangular(n=1). All lesions were located in corticomedullary junction and extended into white matter. On gadolinium-DTPA enhanced images, smooth rim-like(n=6) or irregular thick enhancement(n=3) of abscess wall was noted. Budlike projection from the abscess capsule was found in 4 cases. The signal intensity of abscess capsule was either hyperintense (n=5) or isointense(n=4) relative to white matter on Tl-weighted images, and hypointense(n=6), isointense (n=2) or mixed hypo and isointense(n=l) on T2-weighted images. Satellite nodules were found in 2 cases. PNS inflammation(n=2), meningitis(n=1), ventriculitis(=2) and subdural empyema(n=1) were associated CONCLUSION: The MR features of brain abscess included characteristic intensity of abscess capsule, budlike projection from the abscess wall, moderate amount of peripheral edema, satellite nodules, and associated meningitis, ventriculitis or PNS infection. The morphology of abscess wall was not specific for the diagnosis of brain abscess.
Abscess ; Brain Abscess* ; Brain* ; Diagnosis ; Edema ; Humans ; Meningitis ; Retrospective Studies

Cerebral paragonimiasis, occurring as an extrapulmonary infestation, is one of the important intracranial lesions in Korea. In this paper we report a case of cerebral paragonimiasis which showed very similar C-T findings to pyogenic brain abscess and was verified by pathologic research. Though we don't have much experiences in the diagnosis of the cereal paragonimiasis with C-T Scan, we found out some differences between pyogenic abscess and that due to cerebral paragonimiasis in several aspects.
Abscess ; Brain Abscess* ; Brain* ; Edible Grain ; Diagnosis ; Korea ; Paragonimiasis*