Transgluteal Approach for Percutaneous Drainage of Deep Pelvic Abscesses: 154 Cases

Harisinghani, Mukesh G.; Gervais, Debra A.; Maher, Michael M.; Cho, Che Hee; Hahn, Peter F.; Varghese, Jose C.; Müeller, Peter R.

doi:10.1148/radiol.2283020924

Cited by 150 publications

(74 citation statements)

References 12 publications

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“…The transgluteal, or transsciatic, approach has been described to be associated with substantial discomfort during and after the procedure and the propensity of the catheter to kink in the supine patient [2, 7]. Besides that, important neurovascular structures (the sciatic nerve, superior and inferior gluteal vessels) pass the greater sciatic foramen, and injury of the sciatic nerve may occur [4].…”

Section: Discussionmentioning

confidence: 99%

“…Also, Gazelle et al[ 4] mention tracking of the abscess. However, the few evaluations on transgluteal drainage that have been reported in the literature do not describe a case in which drainage is complicated by the development of a gluteal abscess [2, 6, 7]. The only major complication described was hemorrhage [2].…”

Section: Discussionmentioning

confidence: 99%

“…It is stated that a transgluteal approach is safe and effective, and major complications are rare. Therefore, it should be the preferred method when the standard transabdominal approach is not possible [2, 7]. The main advantage over the transrectal approach is that in long-term drainage, catheter fixation is achieved much more easily with the transgluteal approach [8].…”

Section: Discussionmentioning

confidence: 99%

“…During past decades, radiologically guided percutaneous drainage of abdominal and pelvic abscesses has become a well-accepted procedure [1,2,3]. When possible, a simple anterior or lateral abdominal approach is preferred.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Large Gluteal Abscesses as a Complication of Transgluteal Drainage of Pelvic Abscesses: Analysis of Three Cases and a Search of the Literature

Doesburg

Boerma²,

Bollen³

et al. 2009

Dig Surg

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Background: The percutaneous transgluteal approach is a well-accepted method for drainage of deep pelvic abscesses. Recently, in 3 patients, transgluteal drainage was complicated by the development of large gluteal abscesses requiring multiple surgical interventions. Methods: This report describes these cases as well as a search of the literature. Results: Three patients with a complicated clinical course after colon resection are described. After CT-guided percutaneous transgluteal drainage of the pelvic abscess, large gluteal abscesses were diagnosed after 2–6 weeks. Subsequent surgical interventions were needed to adequately drain these abscesses. In the literature, transgluteal drainage of pelvic abscesses is well described as a safe and efficient method. However, until now the development of gluteal abscesses has not been mentioned as a complication in the literature. Conclusion: In our own experience, a transrectally (radiologically or surgically performed) drainage route is recommended in patients who develop a deep pelvic abscess after bowel resection and suspicion of an anastomotic leak.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Large Gluteal Abscesses as a Complication of Transgluteal Drainage of Pelvic Abscesses: Analysis of Three Cases and a Search of the Literature

Doesburg

Boerma²,

Bollen³

et al. 2009

Dig Surg

View full text Add to dashboard Cite

show abstract

“…Alternatively, they can be managed surgically. The limitations with these approaches are the inability to access deep-seated collections, restriction on dilatation of the tract to appropriate size, patient inconvenience, incomplete resolution, need for frequent reinterventions, and injury to surrounding vessels and nerves [34,35] . Three studies have evaluated the role of EUS-guided transrectal drainage of pelvic abscesses.…”

Section: Pelvic Fluid Collectionsmentioning

confidence: 99%

Interventional Endoscopic Ultrasound

Ramesh¹,

Varadarajulu

2008

Dig Dis

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Endoscopic ultrasonography (EUS), since its development in the 1980s, has undergone a great deal of technological advancement in imaging, scopes with larger channels and accessories. This has given the endosonographer an immense reach in terms of accessing difficult areas with fewer complications. Currently, it is possible not only to obtain tissue for histological diagnosis but also to perform therapeutic procedures that hitherto would have needed surgery with its attendant morbidity. EUS has evolved over the years and EUS-guided fine needle aspiration for histological diagnosis has become standard practice. A wide array of interventional procedures are performed under EUS guidance including, celiac plexus neurolysis, drainage of pancreatic and pelvic fluid collections, drainage of obstructive biliary/pancreatic ducts, and implantation of fiducial markers/radioactive seeds into gastrointestinal tumors. Also, various experimental procedures are underway evaluating the role of EUS in radiofrequency ablation, vascular therapy, and natural orifice transluminal endoscopic surgery. In this review, we examine the various EUS-guided interventions currently undertaken and explore the potential of other emerging experimental techniques.

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What is the Best Way to Image Perianal Crohn's Disease?

Sahni¹,

McLean²

2006

Clinical Dilemmas in Inflammatory Bowel Disease

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Transgluteal Approach for Percutaneous Drainage of Deep Pelvic Abscesses: 154 Cases

Abstract: Percutaneous CT-guided transgluteal drainage is a safe and effective alternative to surgery for deep pelvic abscesses. Major complications are rare.

Cited by 150 publications

References 12 publications

Large Gluteal Abscesses as a Complication of Transgluteal Drainage of Pelvic Abscesses: Analysis of Three Cases and a Search of the Literature

Large Gluteal Abscesses as a Complication of Transgluteal Drainage of Pelvic Abscesses: Analysis of Three Cases and a Search of the Literature

Interventional Endoscopic Ultrasound

What is the Best Way to Image Perianal Crohn's Disease?

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