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Trocar transrectal abscess drainage in children: a modified technique

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Abstract

We describe our 6-year experience with an US-guided one-step trocar technique for transrectal abscess drainage in a pediatric population. Although transrectal drainage of pelvic abscesses has been proved effective, the technique described here simplifies the procedure into a single step, minimizing potential injury to the operator and patient and eliminating potential fluoroscopic radiation while maintaining an excellent clinical success rate. Additionally, our technique obviates the need for protective techniques for sharp instrumentation while advancing the needle from the anus through the rectum into the abscess.

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References

  1. Hogan MJ (2003) Appendiceal abscess drainage. Tech Vasc Interv Radiol 6:205–214

    Article  PubMed  Google Scholar 

  2. Lasson A, Lundagards J, Loren I et al (2002) Appendiceal abscesses: primary percutaneous drainage and selective interval appendicectomy. Eur J Surg 168:264–269

    Article  PubMed  Google Scholar 

  3. Harisinghani MG, Gervais DA, Hahn PF et al (2002) CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics 22:1353–1367

    Article  PubMed  Google Scholar 

  4. Alexander AA, Eschelman DJ, Nazarian LN et al (1994) Transrectal sonographically guided drainage of deep pelvic abscesses. AJR 162:1227–1230

    PubMed  CAS  Google Scholar 

  5. Walser E, Rzaz S, Hernandex A et al (2003) Sonographically guided transgluteal drainage of pelvic abscesses. AJR 181:498–500

    PubMed  Google Scholar 

  6. Gervais DA, Hahn PF, O'Neill MJ et al (2000) CT-guided transgluteal drainage of deep pelvic abscesses in children: selective uses as an alternative to transrectal drainage. AJR 175:1393–1396

    PubMed  CAS  Google Scholar 

  7. Jamieson DH, Chait PG, Filler R (1997) Interventional drainage of appendiceal abscesses in children. AJR 169:1619–1622

    PubMed  CAS  Google Scholar 

  8. Pereira JK, Chait PG, Miller SF (1996) Deep pelvic abscesses in children: transrectal drainage under radiologic guidance. Radiology 198:393–396

    PubMed  CAS  Google Scholar 

  9. Gervais DA, Brown SD, Connolly SA et al (2004) Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics 24:737–754

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, The Ohio State University Medical Center, 395 W. 12th Avenue, 4th Floor, Columbus, OH, 43202, USA

    Sandeep Rao

  2. Department of Radiology, Nationwide Children’s Hospital, Columbus, OH, USA

    Mark J. Hogan

Authors
  1. Sandeep Rao
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  2. Mark J. Hogan
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Correspondence to Sandeep Rao.

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Rao, S., Hogan, M.J. Trocar transrectal abscess drainage in children: a modified technique. Pediatr Radiol 39, 982–984 (2009). https://doi.org/10.1007/s00247-009-1306-6

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  • DOI: https://doi.org/10.1007/s00247-009-1306-6

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