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Image-Guided Transrectal Drainage of Pelvic Abscesses in Children

Jose Santiago1, Murali Surnedi1, Horacio M Padua1

  • 1Division of Interventional Radiology, Boston Children's Hospital, Boston, Massachusetts, United States.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|February 6, 2024
PubMed

Insights

Image-guided transrectal drainage (TRD) is a safe and effective treatment for pediatric pelvic abscesses. This minimally invasive procedure achieved high success rates in treating children with abscesses, primarily caused by appendicitis.

Area of Science:

  • Pediatric surgery
  • Interventional radiology
  • Abdominal imaging

Background:

  • Pelvic abscesses in children often present with significant morbidity.
  • Traditional treatment approaches may involve more invasive interventions.
  • Image-guided transrectal drainage (TRD) offers a minimally invasive alternative.

Purpose of the Study:

  • To detail the technique of image-guided transrectal drainage (TRD) for pediatric pelvic abscesses.
  • To report on the procedural outcomes and clinical experience with TRD in children.
  • To evaluate the safety and efficacy of TRD in this patient population.

Main Methods:

  • Retrospective analysis of 69 pediatric patients undergoing image-guided TRD for pelvic abscesses over 8 years.
  • Review of indications, procedural success, and clinical outcomes.
  • Assessment of abscess characteristics, including etiology and volume.

Main Results:

  • High technical success rate of 98.6% (68/69 procedures).
  • All patients with technically successful TRD showed clinical improvement.
  • Common etiologies included perforated appendicitis (72.5%) and post-operative collections (27.5%).
  • No procedure-related complications were reported.

Conclusions:

  • Image-guided TRD is a safe and highly effective minimally invasive procedure for pediatric pelvic abscesses.
  • The technique demonstrates excellent technical and clinical success rates.
  • TRD facilitates subsequent management, such as elective appendectomy.
Abstract

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