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Supralevator abscess: evaluation with transrectal sonography.
T H Grant1, M M Eisenstein, T Brandt
1Department of Radiology, Michael Reese Hospital and Medical Center, Chicago, Illinois 60616.
Gastrointestinal Radiology
|January 1, 1989
Summary
Transrectal ultrasound effectively diagnosed and guided treatment for supralevator perirectal fluid collections in two patients. This imaging modality facilitated abscess drainage planning and needle aspiration of septated collections.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Oncology
Background:
- Perirectal fluid collections, including abscesses, require accurate diagnosis and effective management.
- Supralevator collections pose diagnostic and therapeutic challenges due to their location.
Observation:
- Transrectal ultrasound (TRUS) was utilized in two patients presenting with supralevator perirectal fluid collections.
- The imaging characteristics of the collections were assessed via TRUS.
Findings:
- TRUS enabled precise diagnosis and surgical planning for a perirectal abscess in one patient.
- Sonographically guided needle aspiration successfully removed a septated fluid collection in the second patient.
Implications:
- Transrectal ultrasound is a valuable tool for evaluating and managing complex perirectal fluid collections.
- This technique can guide minimally invasive interventions, potentially improving patient outcomes.