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

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Abstract

Background

Endoscopic ultrasound (EUS)-guided drainage is an effective treatment for many abscesses in the abdomen. We review our experience with EUS-guided drainage of pelvic abscesses.

Methods

Thirty consecutive patients who underwent EUS-guided pelvic abscess drainage were evaluated after excluding three patients with distance to transducer >2 cm or organized abscess.

Results

Thirty patients (25 male) aged 60 ± 4.5 years (mean ± SD) had 4 prostatic abscesses, 7 perisigmoid abscesses, and 19 perirectal abscesses with mean ± SD sizes of 2.5 ± 0.3, 4.7 ± 0.6, and 5.4 ± 0.4 cm, respectively. Surgery was the most common predisposing factor (n = 14, 46.6 %) followed by diverticulitis (n = 5, 16.6 %). Interventions included aspiration only (2 prostatic and 3 perisigmoid), aspiration and dilatation (2 patients in each group), and dilatation and stenting (2 perisigmoid and 17 perirectal). Five (16.6 %) patients needed re-intervention, and two (6.6 %) needed surgery. There were no recurrences. Technical success of EUS-guided pelvic abscess drainage overall was 90.9 % (30/33) and was 93.3 % (27/30) in patients in whom EUS-guided drainage was attempted, with 16.5 % (n = 5) re-intervention rate.

Conclusion

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

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Conflict of interest

RP, NSC, HK, SPS, MP, SRM, SB, KM, NS, and RS all declare that they have no conflict of interest.

Ethics statement

The authors declare that the study was performed in a manner to conform with the Helsinki Declaration of 1975, as revised in 2000 and 2008 concerning Human and Animal Rights, and the authors followed the policy concerning informed consent as shown on Springer.com.

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Authors and Affiliations

  1. Institute of Digestive and Hepatobiliary Sciences, Medanta, The Medicity, Sector 38, Gurgaon, Haryana, 122 001, India

    Rajesh Puri, Narendra S. Choudhary, Hardik Kotecha, Saumin P. Shah, Manish Paliwal, Smurti R. Misra, Suraj Bhagat, Kaushal Madan, Neeraj Saraf & Randhir Sud

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  1. Rajesh Puri
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  2. Narendra S. Choudhary
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  3. Hardik Kotecha
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  4. Saumin P. Shah
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  5. Manish Paliwal
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  6. Smurti R. Misra
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  7. Suraj Bhagat
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  8. Kaushal Madan
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  9. Neeraj Saraf
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  10. Randhir Sud
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Corresponding author

Correspondence to Rajesh Puri.

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Puri, R., Choudhary, N.S., Kotecha, H. et al. Endoscopic ultrasound-guided pelvic and prostatic abscess drainage: Experience in 30 patients. Indian J Gastroenterol 33, 410–413 (2014). https://doi.org/10.1007/s12664-014-0485-8

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  • DOI: https://doi.org/10.1007/s12664-014-0485-8

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