Combined transrectal sonographic and fluoroscopic guidance for deep pelvic abscess drainage.
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.
Kastan
D J
DJ
Department of Diagnostic Radiology, Henry Ford Hospital, Detroit, Michigan, USA.
Nelsen
K M
KM
Shetty
P C
PC
Burke
M W
MW
Sharma
R P
RP
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*