Transrectal catheter drainage of deep abdominal and pelvic abscesses using combined ultrasonography and fluoroscopy.
OBJECTIVE
To describe our experience with transrectal drainage of deep abdominal or pelvic abscesses guided by ultrasonography and fluoroscopy.


METHODS
Open study.


METHODS
Teaching hospital, Sweden.


METHODS
Eight seriously ill patients with deep abdominal or pelvic abscesses.


METHODS
Ultrasonographic and fluoroscopic transrectal drainage.


METHODS
Clinical follow-up.


RESULTS
Eight patients (2 septic, 2 with high fever, and 2 with moderate fever) were effectively and safely drained without general anaesthesia. Their condition improved considerably within hours after drainage. Three patients had recurrent abscesses as a result of the underlying disease. The drainage overcame the sepsis in two patients and allowed a later elective operation.


CONCLUSIONS
Transrectal ultrasonographic and fluoroscopic drainage is an effective and safe method for treatment of deep abdominal or pelvic abscesses in seriously ill patients.
Lorén
I
I
Department of Diagnostic Radiology, Malmö University Hospital, University of Lund, Malmö, Sweden.
Lasson
A
A
Lundagårds
J
J
Nilsson
A
A
Nilsson
P E
PE
D018784:Abdominal Abscess / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000368:Aged; D002404:Catheterization; D003092:Colitis / Q000175:diagnosis; D004322:Drainage / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis; D012810:Sigmoid Diseases / Q000175:diagnosis