title: Ultrasound guided transrectal catheter drainage of pelvic collections.
abstract: The transrectal approach to draining deep-seated pelvic collections may be used to drain The transrectal approach to draining deep-seated pelvic collections may be used to drain intra-abdominal collections not reached by the transabdominal approach. We discuss 6 patients with such pelvic collections treated with transrectal drainage using catheter placement via Seldinger technique. Transrectal drainage helped achieve clinical and radiological resolution of pelvic collections in 6 and 5 of 6 cases, respectively. It simultaneously helped avoid injury to intervening bowel loops and neurovascular structures using real-time visualization of armamentarium used for drainage. Radiation exposure from fluoroscopic/CT guidance was avoided. Morbidity and costs incurred in surgical exploration were reduced using this much less invasive ultrasound guided transrectal catheter drainage of deep-seated pelvic collections.
authors.forename: Anuj
authors.initials: A
authors.lastname: Thakral
authors.forename: Ramaniwas
authors.initials: R
authors.lastname: Sundareyan
authors.forename: Sheo
authors.initials: S
authors.lastname: Kumar
authors.forename: Divya
authors.initials: D
authors.lastname: Arora
mesh_terms: D000328:Adult; D057785:Catheters; D004322:Drainage / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D059413:Intraabdominal Infections / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000473:pathology* / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000295:instrumentation* / Q000379:methods*; D055815:Young Adult