CT-Guided Placement of a Drainage Catheter Within a Pelvic Abscess Using a Transsacral Approach

2007 ◽  
Vol 30 (6) ◽  
pp. 1277-1279 ◽  
Author(s):  
Toshihiro Iguchi ◽  
Shinya Asami ◽  
Shinichiro Kubo ◽  
Hitoshi Kin ◽  
Kuniaki Katusi ◽  
...  
Keyword(s):  
Pelvic Abscess ◽  
Ct Guided ◽  
Drainage Catheter ◽  
Transsacral Approach

Transurethral Retrograde Approach to Pelvic Abscess Drainage in Post-cystectomy Patients

2018 ◽  
Author(s):  
George Carberry ◽  
Orhan Ozkan
Keyword(s):  
Radical Cystectomy ◽  
Foley Catheter ◽  
Pelvic Abscess ◽  
Catheter Placement ◽  
Retrograde Approach ◽  
Potential Complication ◽  
Abscess Drainage ◽  
Drainage Catheter ◽  
Drain Placement ◽  
Prostatic Abscesses

One potential complication of radical cystectomy is the development of a pelvic abscess requiring drainage. Transurethral drainage has been described for the treatment of prostatic abscesses but is particularly well tolerated in patients for whom pelvic fluid drainage is needed following radical cystectomy. Although percutaneous, transrectal, or transvaginal approaches to pelvic drain placement are possible, the transurethral route provides a fully epithelialized tract through which the drainage catheter can traverse and which does not require unnecessary tissue puncture. Although blind Foley catheter placement could potentially be used for transurethral drainage in these patients, urologic surgeons have preferred fluoroscopically guided drain placement to ensure atraumatic placement and optimal drain positioning. In a stepwise fashion, this chapter describes how to perform fluoroscopy-guided transurethral abscess drainage in patients following cystectomy.

scholarly journals Post Caesarean Section Deep Pelvic Abscess: CT Guided Transgluteal Drainage

Cureus ◽  
2022 ◽  
Author(s):  
Bharti Joshi ◽  
Maninder K Ghotra ◽  
Ujjwal Gorsi ◽  
Subhas Chandra Saha ◽  
Pooja Sikka
Keyword(s):  
Caesarean Section ◽  
Pelvic Abscess ◽  
Ct Guided

scholarly journals Secondary bacterial peritonitis and pelvic abscess due to Clostridium difficile

2018 ◽  
pp. bcr-2018-225252
Author(s):  
Michelle Herberts ◽  
Bradley Hicks ◽  
Muhammad Rizwan Sohail ◽  
Anil Jagtiani
Keyword(s):  
Hepatic Cirrhosis ◽  
Fluid Collection ◽  
Abdominal Ultrasound ◽  
Pelvic Abscess ◽  
Ct Guided ◽  
Bacterial Peritonitis ◽  
Fluid Analysis ◽  
Abdominal Ct Scan ◽  
History Of

A 70-year-old man with a history of hepatic cirrhosis presented with abdominal discomfort and distention. Physical examination revealed abdominal distention, positive fluid wave and abdominal tenderness. Due to concerns for spontaneous bacterial peritonitis (SBP), paracentesis was performed. Fluid analysis revealed 5371 total nucleated cells with 48% neutrophils. Ceftriaxone was then initiated for the treatment of SBP. Bacterial cultures of the fluid, however, grew Clostridium difficile. Therefore, metronidazole was added. An abdominal ultrasound revealed a pelvic fluid collection that was suspicious for an abscess on an abdominal CT scan. The patient underwent CT-guided drain placement into the pelvic fluid collection. The fluid aspirate was consistent with an abscess. However, cultures were negative in the setting of ongoing antibiotic therapy. The patient was treated with a 10-day course of ceftriaxone and metronidazole and was discharged home with outpatient follow-up.

CT-guided percutaneous pelvic abscess drainage in Crohn’s disease

2006 ◽  
Vol 10 (2) ◽  
pp. 99-105 ◽  
Author(s):  
R. Golfieri ◽  
A. Cappelli ◽  
E. Giampalma ◽  
F. Rizzello ◽  
P. Gionchetti ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Pelvic Abscess ◽  
Abscess Drainage ◽  
Ct Guided

CT-Guided Percutaneous Drainage Catheter Placement in the Abdomen and Pelvis: Predictors of Outcome and Protocol for Follow-up

2020 ◽  
Vol 31 (4) ◽  
pp. 667-673 ◽  
Author(s):  
Clayton W. Commander ◽  
Sarah B. Wilson ◽  
Fatmir Bilaj ◽  
Ari J. Isaacson ◽  
Charles T. Burke ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Catheter Placement ◽  
Predictors Of Outcome ◽  
Ct Guided ◽  
Drainage Catheter

scholarly journals Common Options and Overlooked Alternative for Drainage of Inaccessible Presacral Abscess: A Case Report

2021 ◽  
Vol 28 (1) ◽  
pp. 13
Author(s):  
Evelina Kodzis ◽  
Donatas Jocius ◽  
Ona Lapteva ◽  
Rugilė Kručaitė
Keyword(s):  
Facet Joint ◽  
Bone Biopsy ◽  
Joint Destruction ◽  
Seldinger Technique ◽  
Ct Guided ◽  
Pyogenic Spondylodiscitis ◽  
Drainage Catheter ◽  
History Of ◽  
Previously Treated ◽  
Presacral Abscess

Purpose. To demonstrate options and alternative for drainage of inaccessible presacral abscess by the example of a rare clinical case of pyogenic spondylodiscitis, transsacraly drained under a combination of two interventional techniques – CT-guided bone biopsy and abscess drainage.Materials and methods. A 55-year-old patient with history of recurrent paravertebral abscesses previously treated with antibiotic therapy was referred to our institution experiencing lower back pain and weakness in both lower extremities. Computed tomography revealed pyogenic spondylodiscitis along with left facet joint destruction and presacral abscess located in ventral sacral surface. Due to inaccessible abscess location, it was decided to perform CT-guided percutaneous transsacral abscess drainage. An 8G bone marrow biopsy needle was used to penetrate the sacrum and create a path for drainage catheter placement. Using the Seldinger technique 8 Fr drainage catheter was inserted into abscess cavity.Results. Neither early nor late procedure-related complications occurred. Sixteen days after drainage procedure, the catheter was withdrawn as patient’s condition improved and the outflow of pus had reduced considerably.Conclusions. Despite being rarely used, CT fluoroscopy-guided transsacral drainage approach is considered to be minimally invasive and in some cases the only viable option for drainage of pyogenic spondilodiscitis of the lumbosacral junction.

1117: Percutaneous CT-Guided Renal Cryoablation Under Local Anesthesia: Pain Assessment

2006 ◽  
Vol 175 (4S) ◽  
pp. 359-359
Author(s):  
Sompol Permpongkoso ◽  
Aaron Sulman ◽  
Stephen B. Solomon ◽  
GaryX Gong ◽  
Louis R. Kavoussi
Keyword(s):  
Local Anesthesia ◽  
Pain Assessment ◽  
Ct Guided
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