CT-Guided Percutaneous Drainage of Tuberculous and Non-Tuberculous Deep Pelvic Abscesses

Abstract

Objective: To assess the utility of comput- ed tomography (CT)-guided percutaneous drainage in the management of tuberculous and non-tuberculous deep pelvic abscesses. Material and Methods: Twelve patients with deep pelvic abscesses were drained under CT guidance. Nine patients were drained with an indwelling catheter of size ranging from 8 to 14 F. Needle aspiration and lavage were performed in 3 patients. Results: Successful drainage was accomplished in all the patients. A single-session catheter drainage was sufficient in all the cases. In 4 out of 12 patients the abscess was of tuberculous aetiology and all were effectively managed with indwelling catheter drainage. Conclusion: CT-guided percutaneous drainage of pelvic abscesses with appropriate chemotherapy is an easy, safe and effective alternative to surgery in the treatment of tuberculous and nontuberculous pelvic abscesses.