Drainage of deep pelvic and peritoneal abscesses using transabdominal, transvaginal or transrectal ultrasound guidance

Abstract EN

Objective : To examine the efficacy of transabdominal, transvaginal, or transrectal sonographically guided drainage of deep pelvic abscesses.

Design : Retrospective study of six patients treated for peritoneal and pelvic abscesses from 1st January 2003 – 31st December 2004.

Setting : The Department of Obstetrics and Gynecology, Salmaniya Medical Complex.

Results : Six patients with pelvic and peritoneal collections were drained under sonographic guidance by transabdominal, transvaginal, transrectal catheter.

No complications were recorded.

One patient in which the abscess was more than 9cm, its drainage was incomplete and subsequently undergone surgical drainage.

The sixth patient was a case of prenephric abscess extending to the pelvis in a young woman who had renal transplant.

Conclusion : Ultrasound-guided drainage of deep pelvic abscesses offer satisfactory alternative treatment to surgery in the management of pelvic and abdominal collection.