Pelvic abscess drainage: outcome with factors affecting the clinical success

Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology
Devrim AkıncıOkan Akhan

Abstract

We aimed to evaluate the success and complication rates of image-guided pelvic abscess drainage with emphasis on factors affecting the clinical success. During a 7-year period, 185 pelvic abscesses were treated in 163 patients under ultrasonography and fluoroscopy (n=140) or computed tomography (n=45) guidance with transabdominal (n=107), transvaginal (n=39), transrectal (n=21) and transgluteal (n=18) approaches. Abscess characteristics (etiology, number, size, intrastructure, microbiological content, presence of fistula), patient demographics (age, sex, presence of malignancy, primary disease, antibiotic treatments), procedure-related factors (guidance method, access route, catheter size) and their effects on clinical success, complications, and duration of catheterization were statistically analyzed. Technical and clinical success rates were 100% and 93.9%, respectively. Procedure-related mortality or major complications were not observed. Minor complications such as catheter dislodgement, obstruction, or kinking were detected in 6.7% of the patients. Clinical failure was observed in 10 patients (6.1%). Fistulization was observed in 14 abscesses. Fistulization extended the duration of catheter use (P < 0.001) and decreased th...Continue Reading

Citations

Oct 17, 2020·ACG Case Reports Journal·Kornpong VantanasiriGuru Trikudanathan
Jan 20, 2021·Endoscopic Ultrasound·Banreet Singh DhindsaDouglas G Adler
May 29, 2021·Journal of Minimal Access Surgery·Gianfranco DonatelliParag Dhumane
Oct 13, 2021·Zeitschrift für Gastroenterologie·Bo-Wen OuyangBeiping Zhang

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