Background
Although pelvic abscesses have traditionally been drained by surgery or under radiologic
guidance, a small subset of patients who are not candidates for these interventions
require an alternate mode of drainage.
Objective
Evaluate the efficacy of EUS for drainage of pelvic abscesses that could not be drained
under US or CT guidance.
Design
Prospective case series.
Setting
Tertiary referral center.
Patients
Four patients underwent EUS-guided drainage of pelvic abscesses that were not amenable
for drainage by US and/or CT guidance.
Interventions
A 10F drainage catheter was deployed in the abscess cavity under EUS guidance in all
patients. The catheters were flushed periodically until resolution of the abscess
was confirmed by CT imaging.
Main Outcome Measurements
Resolution of a pelvic abscess on follow-up CT and improvement in clinical symptoms.
Results
A drainage catheter was successfully placed in all 4 patients. The mean size of the
abscess was 68 × 72 mm. There were no procedure-related complications. One patient
died of worsening congestive heart failure 48 hours after the procedure. The abscesses
resolved in the remaining 3 patients within a mean duration of 6 days, with complete
symptom relief.
Limitations
A small number of patients and short duration of follow-up.
Conclusions
EUS-guided placement of drainage catheter is a minimally invasive technique for draining
pelvic abscesses that are within the reach of the echoendoscope.
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Article info
Publication history
Accepted:
February 27,
2007
Received:
August 23,
2006
Birmingham, Alabama, USAIdentification
Copyright
© 2007 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
