Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic guidance.
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.
Chung
T
T
Department of Radiology, Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Hoffer
F A
FA
Lund
D P
DP
D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000293:Adolescent; D002404:Catheterization; D002648:Child; D004322:Drainage / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D010388:Pelvis; D015641:Radiography, Interventional; D018084:Ultrasonography, Interventional