Endoscopic ultrasound-guided pelvic and prostatic abscess drainage: Experience in 30 patients

Abstract

EUS-guided drainage has an excellent success rate in drainage of pelvic abscesses.

Endoscopic ultrasound-guided drainage of pelvic abscesses with lumen-apposing metal stents

“…Previously reported case series employed numerous techniques, including abscess aspiration, dilation with aspiration, and the use of drainage catheters with or without placement of plastic stents. [ 5 6 7 8 9 ]…”

“…The need for repeat endoscopic or surgical drainage was 16% in this cohort. [ 6 ] Two patients required stent replacement due to stent migration. [ 6 ] While endoscopic drainage with pigtail stent placement was highly effective overall in the study cohort, there was a relatively high incidence of repeat therapeutic procedures required to achieve clinical resolution.…”

“…[ 6 ] Two patients required stent replacement due to stent migration. [ 6 ] While endoscopic drainage with pigtail stent placement was highly effective overall in the study cohort, there was a relatively high incidence of repeat therapeutic procedures required to achieve clinical resolution. In other published case series, infrequent complications of pigtail stent placement included stent dislodgement, occlusion, as well as migration that ranged from 6% to 15%.…”

“…In other published case series, infrequent complications of pigtail stent placement included stent dislodgement, occlusion, as well as migration that ranged from 6% to 15%. [ 5 6 8 ] A wide range of duration to abscess resolution was noted; between 1 and 6 weeks following endoscopic drainage.…”

Transperineal endoscopic drainage of a presacral and paraspinal abscess

“…To perform PCD, which can be transabdominal, transperineal, or transgluteal, one needs to find a straight path that does not traverse anatomical structures such as the sacrum, rectum, and small bowel [2]. Transrectal drainage with endorectal ultrasound guidance is another option that can be used, especially when the collection is related to recent rectal surgery [3]. These are non-invasive interventions, but they are limited to the placement of relatively small drainage catheters, usually 8 -10 Fr.…”