Transvaginal Pezzer Catheter Drainage in Treatment-Resistant Deep Pelvic Abscess After Cesarean Section: Case Report

A pelvic abscess occurs as an infectious complication of surgical intervention or as a result of infectious processes. Pelvic abscesses may be treated with broad-spectrum antibiotics, which often fail, and surgical intervention is necessary. Surgical procedures include abscess drainage through laparotomy or laparoscopy. Alternative approaches include imaging-guided abscess drainage in conjunction with antibiotics through transabdominal, transrectal, transvaginal or transgluteal routes. In this case, a Pezzer catheter was successfully applied to a deep pelvic abscess that was drained via the transvaginal approach. Transvaginal drainage with a Pezzer catheter following surgical drainage may be considered an effective treatment option for recurrent postoperative midline deep pelvic abscesses. Although this type of catheter is preferred by general surgeons, the advantage of using it vaginally by gynecologists offers an effective treatment approach. Additionally, it has a multifenestrated portion, which reduces the possibility of blockage during drainage.