Journal of Ultrasound in Medicine, Vol 15, Issue 3 235-239, Copyright © 1996 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Combined transrectal sonographic and fluoroscopic guidance for deep pelvic abscess drainage

D. J. Kastan, K. M. Nelsen, P. C. Shetty, M. W. Burke and R. P. Sharma
Department of Diagnostic Radiology, Henry Ford Hospital, Detroit, Michigan, USA.

We attempted to determine the feasibility, safety, and success of transrectal catheter drainage of deep pelvic abscesses using a combination of transrectal sonography and fluoroscopic guidance. In this retrospective review of five cases, transrectal catheters were placed within abscess cavities over a 20 month period. Clinical improvement was prompt, catheters were removed within 7 days, and no complications were detected. No patient required further intervention (follow-up 2 to 20 months). Transrectal sonographically guided catheter drainage proved to be safe and effective in our series. This method is a promising alternative to the posterior (sciatic notch) approach when the anterior transabdominal approach is contraindicated.

This article has been cited by other articles:

				M. B. Nielsen and S. Torp-Pedersen Sonographically Guided Transrectal or Transvaginal One-Step Catheter Placement in Deep Pelvic and Perirectal Abscesses Am. J. Roentgenol., October 1, 2004; 183(4): 1035 - 1036. [Full Text] [PDF]