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Transrectal sonographically guided drainage of deep pelvic abscesses
A A Alexander1, D J Eschelman, L N Nazarian
1Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
AJR. American Journal of Roentgenology
|May 1, 1994
Summary
Transrectal sonographically guided drainage is a safe and effective method for deep pelvic abscesses. This approach offers a viable alternative when other percutaneous methods are not feasible.
Area of Science:
- Radiology
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Deep pelvic abscesses often pose drainage challenges.
- Traditional surgical approaches carry risks and may not be suitable for all cases.
- Percutaneous transabdominal or transvaginal routes are not always accessible due to anatomical factors.
Purpose of the Study:
- To evaluate the efficacy of transrectal sonographically guided drainage for deep pelvic abscesses.
- To assess this technique as an alternative to traditional surgical drainage methods.
Main Methods:
- Nine patients with deep pelvic abscesses, inaccessible by other percutaneous routes, underwent transrectal sonographically guided drainage.
- Procedures utilized a transrectal ultrasound probe, an 18-gauge needle, guidewire, and fluoroscopic guidance for catheter placement via the Seldinger technique.
- Sedation or general anesthesia was administered based on patient age.
Main Results:
- Successful drainage was achieved in all nine patients without complications.
- Drainage catheters remained in place for 1 to 24 days (mean 7 days).
- No recurrent abscesses were observed after catheter removal.
Conclusions:
- Transrectal sonographically guided drainage is a safe, well-tolerated, and effective treatment for deep pelvic abscesses.
- It serves as a valuable alternative, particularly for abscesses not amenable to transabdominal or transvaginal percutaneous drainage.