Abstract

Significance of sonography in the detection of soft tissue infections is unclear and discussed controversial in literature. In a retrospective study sonograms of 40 hematomas and 23 infections were evaluated to examine the possibility of detecting infections by means of sonography alone. Accumulation of fluid, however, could not be differentiated by the established sonomorphological criteria. Especially in postoperative infections with unclear clinical pattern no differentiation between hematoma and abscess could be made. Only ultrasonically guided transcutaneous needle aspiration biopsy can prove the character of sonographic findings.

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