Transrectal drainage of pelvic abscesses

Abstract

In the past 20 years few reports of transrectal drainage of pelvic abscesses have been published in the English language other than brief discussions in standard textbooks. During the past five years nine patients with pelvic abscesses have been treated successfully by this method. There were no deaths and morbidity was minimal. These cases are reviewed and the indications and techniques of operation discussed.

The Continuing Challenge of Acute Appendicitis

“…The most im portant determinant is thus delay in diagno sis and operation, factors which are also re sponsible for the development of intra-ab dominal abscess. The second commonest site of infection is the pelvis, where sepsis occurs in up to 18% of patients [114]. 5-10 days after appendicectomy patients develop diar rhoea and fever.…”

“…5-10 days after appendicectomy patients develop diar rhoea and fever. A boggy mass can then be felt and drained transrectally [114], Stump abscess following invagination is uncommon [115,116], and faecal fistula rarely results; recovery is the rule after operative drainage. In the pre-antibiotic era one third of pyogenic liver abscesses were secondary to appendici tis [117], but this and the associated problem of portal thrombophlebitis are now uncom mon [118], Antibacterial agents were first shown to reduce deaths from appendicitis in 1940 [119].…”

Endoscopic Ultrasound-Guided Perirectal Abscess Drainage without Drainage Catheter: A Case Series

“…The drainage catheter used in these catheter irrigation studies was a 10 F 80-cm catheter. Second, intra-abdominal pressure sufficient to empty the rectum with defecation should also empty the abscess cavity rather than promote its filling [10]. Considering these facts and the results of the present case series as well as similar previous reports, a drainage catheter does not seem to be essential for the management of a perirectal abscess [11].…”

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

“…However, the absence of any complications was described frequently, and transrectal drainage is described as the preferred method of drainage of deep pelvic abscesses [4, 5, 9, 10]. Also, surgical drainage has been described [11, 12]. Traditionally, a surgical transrectal route was preferred [4].…”