Skip to main content
Log in

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

  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Finne C (1980) Transrectal drainage of pelvic abscesses. Dis Colon Rectum 23: 293–297

    Article  PubMed  Google Scholar 

  2. Johnson F (1981) A technique for transrectal drainage of pelvic abscess. Surgery 90:108–109

    CAS  PubMed  Google Scholar 

  3. Gerzof SG, Robbins AH, Johnson WC, Birkett DH, Nabseth DC (1981) Percutaneous catheter drainage of abdominal abscesses: a five-year experience. N Engl J Med 305: 637–641

    Article  Google Scholar 

  4. van Sonnenberg E, Mueller PR, Ferrucci JT Jr (1984) Percutaneous drainage of abdominal abscess and fluid collections in 250 cases. I. Results, failures, and complications. Radiology 151: 337–341

    Google Scholar 

  5. Mueller PR, vanSonnenberg E, Ferrucci JT Jr (1984) Percutaneous drainage of abdominal abscess and fluid collections in 250 cases. II. Current procedural concepts. Radiology 151: 343–347

    CAS  PubMed  Google Scholar 

  6. Gerzof SG, Johnson WC, Robbins AH, Nabseth DC (1985) Expanded criteria for percutaneous abscess drainage. Arch Surg 120:227–232

    CAS  PubMed  Google Scholar 

  7. Haaga JR (1990) Imaging intra-abdominal abscesses and nonoperative drainage procedures. World J Surg 14; 204–209

    Article  CAS  PubMed  Google Scholar 

  8. Levison MA (1992) Percutaneous versus open operative drainage of intra-abdominal abscesses. Infect Dis Clin North Am 6:525–544

    CAS  PubMed  Google Scholar 

  9. Mauro MA, Jacques PF, Mandell VS, Mandel SR (1985) Pelvic abscess drainage by the transrectal catheter approach in men. AJR 144; 477–479

    CAS  PubMed  Google Scholar 

  10. Nosher JL, Needell GS, Amorosa JK, Krasna IH (1986) Transrectal pelvic abscess drainage with sonographic guidance. AJR 146:1047–1048

    CAS  PubMed  Google Scholar 

  11. Gazelle GS, Haaga JR, Stellato TA, Gauderer MWL, Plecha DT (1991) Pelvic abscesses: CT-guided transrectal drainage. Radiology 181:49–51

    CAS  PubMed  Google Scholar 

  12. Bennett JD, Kozak RI, Taylor BM, Jory TA (1992) Deep pelvic abscesses: transrectal drainage with radiologic guidance. Radiology 185: 825–828

    CAS  PubMed  Google Scholar 

  13. Pereira JK, Chait PG, King SJ, Shuckett B, Daneman A (1992) Transrectal drainage of deep pelvic abscesses in children, (abstract) Radiology 185(P): 231–232

    Google Scholar 

  14. Alexander AA, Eschelman DJ, Nazarian LN, Bonn J (1994) Transrectal sono-graphically guided drainage of deep pelvic abscesses. AJR 162:1227–1230

    CAS  PubMed  Google Scholar 

  15. Beagle AM, D’Agostino HB, Stainken B, Casola G, van Sonnenberg E (1994) Image-guided transrectal aspiration and drainage of pelvic collections: technical details and results over a 3-year-period. SCVIR abstracts: 171

  16. Kastan DJ, Shetty PC, Burke MW, Sharma RP, Angileri MA (1994) Combined transrectal sonographic and fluoroscopic guidance for deep pelvic abscess drainage. SCVIR abstracts: 172

  17. van Sonnenberg E, D’Agostino HB, Casola G, Halasz NA, Sanchez RB, Goodacre BW (1991) Percutaneous abscess drainage: current concepts. Radiology 181: 617–626

    Google Scholar 

  18. Butch RJ, Mueller PR, Ferrucci JT Jr, Wittenberg J, Simeone JF, White EM, Brown AS (1986) Drainage of pelvic abscesses through the greater sciatic foramen. Radiology 158: 487–491

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chung, T., Hoffer, F.A. & Lund, D.P. Transrectal drainage of deep pelvic abscesses in children using a combined transrectal sonographic and fluoroscopic guidance. Pediatr Radiol 26, 874–878 (1996). https://doi.org/10.1007/BF03178041

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03178041

Keywords

Navigation