Image-Guided Transrectal Drainage of Pelvic Abscesses in Children
Topic overview
This retrospective study demonstrates that image-guided transrectal drainage is a highly effective minimally invasive technique for managing pelvic abscesses in pediatric patients, achieving 98.6% technical success across 69 cases. Most cases resulted from perforated appendicitis, with patients successfully bridged to elective appendectomy after abscess resolution.
Key takeaways
- Image-guided transrectal drainage achieved 98.6% technical success in 69 pediatric pelvic abscess cases with zero complications.
- Most pelvic abscesses in children stem from perforated appendicitis (72.5%); TRD enables interval appendectomy at median 2.8 months.
- Median catheter dwell time was 4 days; all technically successful procedures resulted in clinical improvement.
- TRD is safe across wide age range (3-18 years) and abscess sizes (24-937 mL), avoiding immediate surgery in acute infection.
- Common presenting symptoms include abdominal pain (100%), fever, emesis, and diarrhea in pediatric pelvic abscess patients.
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How to cite: GlobalCastMD. Image-Guided Transrectal Drainage of Pelvic Abscesses in Children. GlobalCastMD Medical Library. 2024-02-06. https://dev.library.globalcastmd.com/article/8419?via_space=staycurrentmd
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