CT-guided placement of a drainage catheter within a pelvic abscess using a transsacral approach.
A 66-year-old man underwent CT-guided drainage catheter placement within a pelvic abscess with a diameter of 46 mm. We performed the drainage by a transsacral approach because it was considered the safest and most feasible approach. An 8G bone marrow biopsy needle was used to penetrate the sacrum to create a path for subsequent drainage catheter insertion. After withdrawal of the biopsy needle, a 6 Fr catheter was advanced into the abscess cavity through the path using the Seldinger technique. Except for bearable pain, no procedure-related complications occurred. Twenty-nine days after the placement, the catheter was withdrawn safely and the abscess cavity had shrunk remarkably.
Iguchi
Toshihiro
T
Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho, Fukuyama 721-8511, Japan. iguchi@cc.okayama-u.ac.jp
Asami
Shinya
S
Kubo
Shinichiro
S
Kin
Hitoshi
H
Katusi
Kuniaki
K
Sakurai
Jun
J
Hiraki
Takao
T
Kanazawa
Susumu
S
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000368:Aged; D002404:Catheterization / Q000379:methods; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging*; D015641:Radiography, Interventional; D012447:Sacrum; D014057:Tomography, X-Ray Computed