{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:21:11Z","timestamp":1765542071048,"version":"3.48.0"},"reference-count":18,"publisher":"BMJ","issue":"6461","license":[{"start":{"date-parts":[[1985,1,5]],"date-time":"1985-01-05T00:00:00Z","timestamp":473731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,1,5]]},"abstract":"<jats:p>The dynamics of leucocytes in abdominal abscesses were studied using indium-111 autologous leucocyte scanning in 30 patients. Thirteen patients showing enteric drainage of leucocytes on delayed scans were characterised by a lack of abdominal localising signs and a low detection rate by ultrasound (25%). By contrast, 16 of 17 patients without enteric drainage had abdominal signs, and in these patients ultrasound was associated with a higher detection rate (58%). Despite the presence of an enteric route of drainage for the abscess 10 of the 13 patients needed surgical intervention. These results help explain the wide variation in clinical presentation of abdominal abscesses; suggest that 111In leucocyte scanning should be the initial investigation in those patients without focal signs; and show that formal surgical drainage is needed in patients recognised as having enteric communication with abscesses.<\/jats:p>","DOI":"10.1136\/bmj.290.6461.23","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"23-26","source":"Crossref","is-referenced-by-count":19,"title":["Clinical importance of enteric communication with abdominal abscesses."],"prefix":"10.1136","volume":"290","author":[{"given":"S H","family":"Saverymuttu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A M","family":"Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Lavender","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1985,1,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/0002-9610(73)90010-X","article-title":"Intra-abdominal abscesses","volume":"125","author":"Altemeier, W.A.; Culbertson, W.R.; Fullen, W.D.","year":"1973","unstructured":"Altemeier WA, Culbertson WR, Fullen WD, et al. Intra-abdominal abscesses. Am Y Surg 1973;125:70-9.","journal-title":"Am Y Surg"},{"key":"ref_2","article-title":"Diagnosis and treatment of abdominal abscesses","author":"Ariel, I.M.; Kazarian, K.K.","year":"1971","unstructured":"Ariel IM, Kazarian KK. Diagnosis and treatment of abdominal abscesses. Baltimore: Williams and Wilkins Co, 1971."},{"key":"ref_3","first-page":"83","article-title":"Accuracy of grey scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients","volume":"i:","author":"Taylor, K.K.W.; Wasson, J.F.; De Graaf, D.; Rosenfeld, A.; Andriole, V.T.","year":"1978","unstructured":"Taylor KKW, Wasson JF, De Graaf D, Rosenfeld A, Andriole VT. Accuracy of grey scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients. Lancet 1978;i:83-4.","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1148\/radiology.140.1.7244219","article-title":"Ultrasonographv and indium-ll white blood scanning for the detection of intra-abdominal abscesses","volume":"140","author":"Carroll, B.; Silverman, P.M.; Goodwin, D.A.; McDougall, JR","year":"1981","unstructured":"Carroll B, Silverman PM, Goodwin DA, McDougall JR. Ultrasonographv and indium-ll white blood scanning for the detection of intra-abdominal abscesses. Radiology 1981;140:155-60.","journal-title":"Radiology"},{"key":"ref_5","first-page":"827","article-title":"Indium-1ll labelled leucocytes in the diagnosis of inflammatory disease. A comparison of 111-In oxine with 111-In acetylacetone","volume":"55","author":"Peters, A.M.; Saverymuttu, S.H.; Karimjee, S.; Lavender, J.P.","year":"1982","unstructured":"Peters AM, Saverymuttu SH, Karimjee S, Lavender JP. Indium-1ll labelled leucocytes in the diagnosis of inflammatory disease. A comparison of 111-In oxine with 111-In acetylacetone. Br 7Radiol 1982;55:827-32."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1259\/0007-1285-55-651-247","article-title":"The labelling of blood cells in plasma with 111-In tropolonate","volume":"55","author":"Danpure, H.J.; Osman, S.; Brady, F.","year":"1982","unstructured":"Danpure HJ, Osman S, Brady F. The labelling of blood cells in plasma with 111-In tropolonate. Br J Radiol 1982;55:247-9.","journal-title":"Br J Radiol"},{"key":"ref_7","first-page":"401","article-title":"Diverticular disease","volume-title":"Radiology of the colon","author":"Meyers, M.A.","year":"1980","unstructured":"Meyers MA. Diverticular disease. In: Mashak RH, Linder AE, Maklansky D, eds. Radiology of the colon. Philadelphia: Saunders, 1980:401-11."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"27","DOI":"10.2214\/ajr.141.1.27","article-title":"Abdominal abscesses with enteric communication: CT findings","volume":"141","author":"Chintapalli, K.; Thorsen, M.; Foley, W.; Unger, G.","year":"1983","unstructured":"Chintapalli K, Thorsen M, Foley W, Unger G. Abdominal abscesses with enteric communication: CT findings. American Journal of Roentgenology 1983;141:27-8.","journal-title":"American Journal of Roentgenology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1136\/bmj.285.6337.255","article-title":"111-Indium autologous leucocyte scanning: comparison with radiology for imaging the colon in inflammatory bowel disease","volume":"285","author":"Saverymuttu, S.H.; Peters, A.M.; Hodgson, H.J.F.; Chadwick, V.S.; Lavender, J.P.","year":"1982","unstructured":"Saverymuttu SH, Peters AM, Hodgson HJF, Chadwick VS, Lavender JP. 111-Indium autologous leucocyte scanning: comparison with radiology for imaging the colon in inflammatory bowel disease. Br MedJa 1982;285:255-7.","journal-title":"Br MedJa"},{"key":"ref_10","first-page":"1333","article-title":"Quantitative fecal leucocyte excretion in the assessment of disease activity","volume-title":"Crohn's disease. Gastroenterology 1983; 85","author":"Saverymuttu, S.H.; Peters, A.M.; Pepys, M.; Lavender, J.P.; Hodgson, H.J.F.; Chadwick, V.S.","unstructured":"Saverymuttu SH, Peters AM, Pepys M, Lavender JP, Hodgson HJF, Chadwick VS. Quantitative fecal leucocyte excretion in the assessment of disease activity in Crohn's disease. Gastroenterology 1983;85:1333-9."},{"key":"ref_11","first-page":"517","article-title":"Determinants of death in patients with intra-abdominal abscess","volume":"88","author":"Fry, D.E.; Garrison, N.; Heitsch, C.; Calhoun, K.; Polk, H.","year":"1980","unstructured":"Fry DE, Garrison N, Heitsch C, Calhoun K, Polk H. Determinants of death in patients with intra-abdominal abscess. Surgery 1980;88:517-23.","journal-title":"Surgery"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"21","DOI":"10.2214\/ajr.141.1.21","article-title":"The silent abdominal abscess: role of radiologist","volume":"141","author":"Goldman, R.; Hunter, T.; Haber, K.","year":"1983","unstructured":"Goldman R, Hunter T, Haber K. The silent abdominal abscess: role of radiologist. American journal of Roentgenology 1983;141:21-5.","journal-title":"American journal of Roentgenology"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1001\/jama.1982.03320270028017","article-title":"Percutaneous radiographically guided catheter drainage of abdominal abscess","volume":"247","author":"van Sommenberg E; JT, Ferrucci; PR, Mueller; J, Wittenberg; JF, Simone; RA, Malt","year":"1982","unstructured":"van Sommenberg E, Ferrucci JT, Mueller PR, Wittenberg J, Simone JF, Malt RA. Percutaneous radiographically guided catheter drainage of abdominal abscess. JAMA 1982;247:190-2.","journal-title":"JAMA"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1136\/bmj.287.6393.637","article-title":"Initial experience with indium-111 autologous leucocyte imaging in patients with acute pancreatitis","volume":"287","author":"Anderson, JR, Spence; RAJ, Laird; JD, Ferguson; WR, Kennedy; T.L.","year":"1983","unstructured":"Anderson JR, Spence RAJ, Laird JD, Ferguson WR, Kennedy TL. Initial experience with indium-111 autologous leucocyte imaging in patients with acute pancreatitis. Br MedJ 1983;287:637-8.","journal-title":"Br MedJ"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1136\/adc.59.1.62","article-title":"Radiolabelled leucocytes: a new diagnostic tool in occult infection.inflammation","volume":"59","author":"Gordon, I.; Vivian, G.","year":"1984","unstructured":"Gordon I, Vivian G. Radiolabelled leucocytes: a new diagnostic tool in occult infection.inflammation. Arch Dis Child 1984;59:62-6.","journal-title":"Arch Dis Child"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/S0001-2998(84)80026-4","article-title":"Imaging of inflammatory processes with labelled cells","volume":"14","author":"Froelich, J.W.; Swanson, D.","year":"1984","unstructured":"Froelich JW, Swanson D. Imaging of inflammatory processes with labelled cells. Semin Nucl Med 1984;14:128-40.","journal-title":"Semin Nucl Med"},{"year":"1984","unstructured":"(Accepted 8 October 1984)","article-title":"Accepted","key":"ref_17"},{"unstructured":"Does chronic anorexia nervosa predispose to osteoporosis, and if so by what mechanism? Three out of six patients who had had anorexia for over 10 years had osteoporosis, and two more had dorsal kyphosis suggesting vertebral bone loss. Such figures suggest an association between the two conditions. Although five patients had menstruated before the onset of anorexia, if anorectic patients never reach maturity this might cause low bone mass. Two patients, however, were well into adult life before the onset of anorexia, and recent work suggests that trabecular bone volume declines from the age of 20 or earlier.2","article-title":"Does chronic anorexia nervosa predispose to osteoporosis, and if so by what mechanism? Three out of six patients who had had anorexia for over 10 years had osteoporosis, and two more had dorsal kyphosis suggesting vertebral bone loss. Such figures suggest an association between the two conditions. Although five patients had menstruated before the onset of anorexia, if anorectic patients never reach maturity this might cause low bone mass. Two patients, however, were well into adult life before the onset of anorexia, and recent work suggests that trabecular bone volume declines from the age of 20 or earlier.2","key":"ref_18"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.290.6461.23","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.290.6461.23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T12:16:50Z","timestamp":1765541810000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.290.6461.23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,1,5]]},"references-count":18,"journal-issue":{"issue":"6461","published-online":{"date-parts":[[1985,1,5]]},"published-print":{"date-parts":[[1985,1,5]]}},"alternative-id":["10.1136\/bmj.290.6461.23"],"URL":"https:\/\/doi.org\/10.1136\/bmj.290.6461.23","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"type":"print","value":"0267-0623"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1985,1,5]]}}}