Transrectal sonographically guided drainage of deep pelvic abscesses.

Alexander, Archie A.; Eschelman, David J.; Nazarian, Levon N.; Bonn, Joseph

doi:10.2214/ajr.162.5.8166015

Cited by 77 publications

(43 citation statements)

References 14 publications

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“…Pereira et al [13] reported successful transrectal drainage with transabdominal sonographic guidance in seven of eight children. More recently, successful transrectal sonography-guided drainages of pelvic abscesses were reported in series with mainly adult patients [14][15][16]. The purpose of this paper is to assess the effectiveness of transrectal drainage of deep pelvic abscesses with combined transrectal sonographic and fluoroscopic guidance in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic guidance

1996

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The authors review their experience with transrectal drainage of pelvic abscesses in seven children and adolescents (6-16 years old). Initial access was guided by transrectal ultrasound with an endovaginal transducer followed by fluoroscopy for placement of self-retaining catheters (8.5-10 F) using the Seldinger technique. All abscesses were successfully drained without complications. A transrectal catheter was well tolerated by most patients without spontaneous dislodgment. Catheters were removed after an average of 4 days (range 3-7 days). Transrectal drainage of pelvic abscess with transrectal sonographic and fluoroscopic guidance seems to be a safe and effective procedure in children.

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Section: Introductionmentioning

confidence: 99%

Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic guidance

1996

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“…Although not affecting the outcome, the only drawbacks described are the dislodgement and expulsion of the catheter [5, 6, 8]. 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].…”

Section: Discussionmentioning

confidence: 99%

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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“…In the abdomen, appendicitis is the most common etiology of an abscess, and it may present before or after surgery [1][2][3][4][5][6][7][8]. Other etiologies for abdominal collections include cerebrospinal fluid pseudocysts ( Fig.…”

Section: Aspiration and Drainagementioning

confidence: 99%

“…2 and 3) [1][2][3][4][5][6][7][8]25]. When using transrectal access, a trocar technique may be used as it protects the patient and radiologist from the sharp needle tip [3,7,8].…”

Section: Aspiration and Drainagementioning

confidence: 99%