title: A vaginal drain of a pelvic abscess due to colonic diverticulitis.
abstract: Although well recognized for tubo-ovarian abscesses, we report, in our best knowledge, the first case of a vaginal drain of a pelvic abscess due to colonic diverticulitis. A 78-year-old patient presented with abdominal and pelvic pain, fever (39.3 °C) and an elevated white blood cell count (18500/mL). After abdominopelvic computed tomography the patient was presumed to have a pelvic abscess, which developed as a complication of the sigmoid diverticulitis. Due to the numerous intervening structures that create obstacles to safe percutaneous access, we planned a trans-vaginal drain. A rapid recovery was obtained within 2 d from the procedure and, at present, the follow-up was uneventful after 18 mo. We believe that transvaginal drain of pelvic abscess could be a useful alternative, when percutaneous approach is not feasible.
authors.affiliation: Marco Milone, Miguel Emilio Sosa Fernandez, Piero Venetucci, Paola Maietta, Loredana Maria Sosa Fernandez, Caterina Taffuri, Francesco Milone, Department of Advanced Biomedical Science, University "Federico II" of Naples, 80131 Naples, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Milone
authors.forename: Miguel Emilio
authors.initials: ME
authors.lastname: Sosa Fernandez
authors.forename: Piero
authors.initials: P
authors.lastname: Venetucci
authors.forename: Paola
authors.initials: P
authors.lastname: Maietta
authors.forename: Loredana Maria
authors.initials: LM
authors.lastname: Sosa Fernandez
authors.forename: Caterina
authors.initials: C
authors.lastname: Taffuri
authors.forename: Francesco
authors.initials: F
authors.lastname: Milone
keywords: Diverticulitis; Drain; Echography; Pelvic abscess; Vaginal