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Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic
T Chung1, F A Hoffer, D P Lund
1Department of Radiology, Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Insights
Transrectal drainage of pelvic abscesses using ultrasound and fluoroscopy is a safe and effective treatment for children. This minimally invasive procedure successfully drained abscesses in all patients with good tolerance and no complications.
Area of Science:
- Pediatric Surgery
- Interventional Radiology
- Pediatric Urology
Background:
- Pelvic abscesses in children can be challenging to treat.
- Minimally invasive drainage techniques are preferred to reduce morbidity.
Purpose of the Study:
- To evaluate the safety and efficacy of transrectal drainage of pelvic abscesses in pediatric patients.
- To assess the feasibility of using transrectal ultrasound and fluoroscopy for guidance.
Main Methods:
- Seven children and adolescents (6-16 years old) with pelvic abscesses underwent transrectal drainage.
- Transrectal ultrasound with an endovaginal transducer guided initial access.
- Fluoroscopy and the Seldinger technique were used for self-retaining catheter placement (8.5-10 F).
Main Results:
- All seven abscesses were successfully drained.
- The procedure was performed without any complications.
- Transrectal catheters were well tolerated, with no spontaneous dislodgments.
- Catheters remained in place for an average of 4 days (range 3-7 days).
Conclusions:
- Transrectal drainage of pelvic abscesses guided by transrectal sonography and fluoroscopy is a safe and effective option for pediatric patients.
- This minimally invasive approach offers a favorable alternative for managing pelvic abscesses in children and adolescents.
Abstract:
The authors review their experience with transrectal drainage of pelvic abscesses in seven children and adolescents (6-16 years old). Initial access was guided by transrectal ultrasound with an endovaginal transducer followed by fluoroscopy for placement of self-retaining catheters (8.5-10 F) using the Seldinger technique. All abscesses were successfully drained without complications. A transrectal catheter was well tolerated by most patients without spontaneous dislodgment. Catheters were removed after an average of 4 days (range 3-7 days). Transrectal drainage of pelvic abscess with transrectal sonographic and fluoroscopic guidance seems to be a safe and effective procedure in children.