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03:42
Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
Gynecologic abscess: CT-guided percutaneous drainage.
Hideaki Kakizawa1, Naoyuki Toyota, Masashi Hieda
1Department of Radiology, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. kakizawa@hiroshima-u.ac.jp
Hiroshima Journal of Medical Sciences
|September 26, 2006
Summary
Computed tomography (CT)-guided percutaneous abscess drainage (PAD) offers a successful treatment for gynecologic abscesses, including tubo-ovarian abscesses and pyometra, when antibiotics fail. This minimally invasive approach provides diagnostic, temporizing, or alternative surgical options.
Area of Science:
- Gynecologic Oncology
- Interventional Radiology
- Infectious Diseases
Background:
- Tubo-ovarian abscesses (TOA) and pyometra are serious gynecologic infections often requiring prompt intervention.
- Antibiotic resistance can complicate the management of these conditions, necessitating alternative treatment strategies.
- Computed tomography (CT) has become integral in diagnosing and guiding interventions for pelvic abscesses.
Observation:
- A 42-year-old woman with a recurrent ovarian cystoma developed a tubo-ovarian abscess (TOA) resistant to antibiotics.
- A 58-year-old woman with recurrent cervical cancer developed pyometra, with transvaginal drainage obstructed.
Findings:
- CT-guided transabdominal percutaneous abscess drainage (PAD) and irrigation successfully treated the TOA in the first patient, with no recurrence at one year.
- CT-guided transabdominal PAD and irrigation were used for the pyometra in the second patient due to cervical os obstruction, leading to clinical improvement.
- The procedure served as a diagnostic aspiration, temporizing measure, and alternative to surgery for both gynecologic abscess cases.
Implications:
- CT-guided PAD is a valuable, minimally invasive option for managing complex gynecologic abscesses.
- This technique can be employed as a primary treatment, a bridge to definitive surgery, or when other drainage methods are not feasible.
- Successful PAD may improve patient outcomes and reduce the need for more invasive surgical interventions in gynecologic infections.
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