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The main indications for CVVH were the following: evidence of increased exudation due to progression of systemic inflammation, and formation of multiple fluid collections accompanied by deterioration of respiratory and kidney functions, despite the 24- to 48-h intensive treatment provided according to the approved treatment protocol of SAP.
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Radiologic evidence of pleural effusion and pneumonia was typical for patients with multiple inflammatory fluid collections; most of them underwent CVVH.
IAP measurements were obtained from patients when multiple intra-abdominal fluid collections were present on CT scan on admission, or when there was the clinical suspicion of IAH.
Abdominal ultrasound and computed tomographic (CT) scans showed gallbladder wall thickening and inflammation, multiple gallstones, and a single large fluid collection in the right lobe of the liver, with multiple adjacent smaller satellite fluid collections.
The CT-guided aspiration of the perinephric fluid collections revealed multiple septations.
However complications of fluid collections can include difficulty establishing communications between multiple aspects, fistulation, and evaluation of size or confirmation of catheter drain placement.
Acute peripancreatic fluid collections (APPFCs) occur in the early phase of pancreatitis, may be multiple, are typically sterile and usually spontaneously resolve [23].
There may be multiple fluid domains and multiple solid domains.
Imaging reveals thin-walled fluid collections.
The fluid collections will typically show an enhancing rim.
Surgery confirmed bilateral infected fluid collections and isolated FBG.
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