title: Combined transrectal sonographic and fluoroscopic guidance for deep pelvic abscess drainage.
abstract: We attempted to determine the feasibility, safety, and success of transrectal catheter drainage of deep pelvic abscesses using a combination of transrectal sonography and fluoroscopic guidance. In this retrospective review of five cases, transrectal catheters were placed within abscess cavities over a 20 month period. Clinical improvement was prompt, catheters were removed within 7 days, and no complications were detected. No patient required further intervention (follow-up 2 to 20 months). Transrectal sonographically guided catheter drainage proved to be safe and effective in our series. This method is a promising alternative to the posterior (sciatic notch) approach when the anterior transabdominal approach is contraindicated.
authors.affiliation: Department of Diagnostic Radiology, Henry Ford Hospital, Detroit, Michigan, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Kastan
authors.forename: K M
authors.initials: KM
authors.lastname: Nelsen
authors.forename: P C
authors.initials: PC
authors.lastname: Shetty
authors.forename: M W
authors.initials: MW
authors.lastname: Burke
authors.forename: R P
authors.initials: RP
authors.lastname: Sharma
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging* / Q000628:therapy*; D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D004322:Drainage / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D005471:Fluoroscopy / Q000295:instrumentation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography / Q000295:instrumentation*