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Deep pelvic abscesses: transrectal drainage with radiologic guidance
J D Bennett1, R I Kozak, B M Taylor
1Department of Diagnostic Radiology, St Joseph's Health Centre, London, Ont, Canada.
Radiology
|December 1, 1992
Summary
Radiologic-guided transrectal catheter drainage offers a safe and effective method for treating deep pelvic abscesses, even when the abscess is not palpable. This minimally invasive approach provides successful initial drainage and clinical improvement for patients.
Area of Science:
- Radiology
- Gastroenterology
- Infectious Diseases
Background:
- Deep pelvic abscesses can be challenging to manage, particularly when not palpable on physical examination.
- Traditional drainage methods may be invasive or less effective for deep-seated infections.
Purpose of the Study:
- To evaluate the safety, feasibility, and efficacy of transrectal catheter drainage guided by radiologic imaging for deep pelvic abscesses.
Main Methods:
- Transrectal catheter drainage was performed in eight patients using radiologic guidance (fluoroscopy and/or transrectal ultrasound).
- Medium to large locking catheters (8-14-F) were predominantly used, with drainage occurring via anterior/anterolateral or posterior rectal walls.
- Catheters were typically left in place for 3 days or less.
Main Results:
- Successful initial drainage and clinical improvement were achieved in all cases.
- No direct complications related to the transrectal drainage procedure were reported.
- Two patients required subsequent surgery due to bleeding or abscess recurrence after tube dislodgement.
Conclusions:
- Transrectal catheter drainage under radiologic guidance is a safe, feasible, and well-tolerated procedure for deep pelvic abscesses.
- The described techniques are relatively easy to perform and achieve successful initial outcomes.
- This minimally invasive approach can be a valuable alternative to more invasive treatments.