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Diagnostic and Therapeutic Procedures in Gastroenterology pp 241–247Cite as

EUS-Guided Drainage of Pelvic Abscesses

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Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Deciding how to treat pelvic abscesses can pose a clinical dilemma. They usually occur after surgery or in patients with medical conditions such as Crohn’s disease, diverticulitis, ischemic colitis, sexually transmitted diseases, or septic emboli from endocarditis. However, the anatomical challenges are what make this a clinical obstacle, with navigation needed around bony pelvis, bladder, bowel, reproductive organs in females, the prostate in men, rectum, and other neurovascular structures. Historically, pelvic abscesses necessitated surgery, ultrasound-guided transrectal or transvaginal intervention or were percutaneously drained under computed tomography (CT) guidance. Recently, there have been advances in the field of interventional endosonography that have opened a new avenue for drainage. This chapter will review the different treatment options for draining pelvic abscesses, with a focus on the technique of endoscopic ultrasound (EUS).

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References

  • Giovannini M, Bories E, Moutardier V, et al. Drainage of deep pelvic abscesses using therapeutic echo endoscopy. Endoscopy. 2003;35:511–4.

    Article  PubMed  CAS  Google Scholar 

  • Golfieri R, Cappelli A. Computed tomography-guided percutaneous abscess drainage in coloproctology: review of the literature. Tech Coloproctol. 2007;11(3):197–208.

    Article  PubMed  CAS  Google Scholar 

  • Harisinghani MG, Gervais DA, Maher MM, et al. Transgluteal approach for percutaneous drainage of deep pelvic abscesses: 154 cases. Radiology. 2003;228:701–5.

    Article  PubMed  Google Scholar 

  • Jaffe TA, Nelson RC, Delong DM, et al. Practice patterns in percutaneous image-guided intraabdominal abscess drainage: survey of academic and private practice centers. Radiology. 2004;233:750–56.

    Article  PubMed  Google Scholar 

  • Kuligowska E, Keller E, Ferrucci JT. Treatment of pelvic abscesses: value of one-step sonographically guided transrectal needle aspiration and lavage. AJR Am J Roentgenol. 1995;164:201–6.

    PubMed  CAS  Google Scholar 

  • Nelson AL, Sinow RM, Olaik D. Transrectal ultrasonographically guided drainage of gynecologic pelvic abscesses. Am J Obstet Gynecol. 2000;6:1382–8.

    Article  Google Scholar 

  • Onaca N, Hirshberg A, Adar R. Early reoperation for perirectal abscess. Dis Colon Rectum. 2001;44:1469–73.

    Article  PubMed  CAS  Google Scholar 

  • Ryan RS, McGrath FP, Haslam PJ, et al. Ultrasound-guided endocavitary drainage of pelvic abscesses: technique, results and complications. Clin Radiol. 2003;58:75–9.

    Article  PubMed  CAS  Google Scholar 

  • Sudakoff GS, Lundeen SJ, Otterson MF. Transrectal and Transvaginal sonographic intervention of infected pelvic fluid collections. Ultrasound Q. 2005;21:175–85.

    Article  PubMed  Google Scholar 

  • Trevino J, Drelichman ER, Varadarajulu S. Modified Technique for EUS-guided Drainage of Pelvic Abscess. Gastrointest Endosc. 2008 Dec;68(6):1215–9.

    Google Scholar 

  • Varadarajulu S. EUS-Guided Drainage of Pelvic Abscess. Tech Gastrointest Endosc. 2007;9:51–4.

    Article  Google Scholar 

  • Varadarajulu S, Drelichman ER. EUS-guided drainage of pelvic abscess. Gastrointest Endosc. 2007;66:372–6.

    Article  PubMed  Google Scholar 

  • Wroblicka JT, Kuligowska E. One-step needle aspiration and lavage for the treatment of abdominal and pelvic abscesses. AJR Am J Roentgenol. 1998;170(5):1197–203.

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jessica Trevino M.D.

  2. University of Alabama School of Medicine, Children’s Hospital, Birmingham, AL, USA

    Shyam Varadarajulu M.D.

Authors
  1. Jessica Trevino M.D.
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  2. Shyam Varadarajulu M.D.
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Corresponding author

Correspondence to Shyam Varadarajulu M.D. .

Editor information

Editors and Affiliations

  1. University of Connecticut School of Medi, Farmington Ave. 236, Farmington, 06030-1845, Connecticut, USA

    George Y. Wu

  2. , Department of Gastroenterology, Medical College of Georgia, Fifteenth St. BBR-2544, Augusta, 30912, Georgia, USA

    Subbaramiah Sridhar

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Trevino, J., Varadarajulu, S. (2011). EUS-Guided Drainage of Pelvic Abscesses. In: Wu, G., Sridhar, S. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-044-7_15

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  • DOI: https://doi.org/10.1007/978-1-59745-044-7_15

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-58829-478-4

  • Online ISBN: 978-1-59745-044-7

  • eBook Packages: MedicineMedicine (R0)

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