RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0042-1759855
Accessing Intraabdominal Abscess for Percutaneous Drainage Using a Trocar Only Technique to Maneuver Intervening Bowel
Abstract
Conventional approaches to the drainage of abscess surrounded by bowel contraindicate percutaneous drainage and often involve more invasive laparotomy. We attempt to demonstrate the use of an image-guided blunt trocar to navigate obstructive bowel and access abdominal abscess. This report presents the use of a blunt trocar to safely maneuver obstructive bowel and perform successful percutaneous drainage of intraabdominal abscess in two separate cases: one presenting a left lower quadrant diverticular abscess and the other presenting an abscess in the right lower quadrant. Thus, traversing obstructive bowel using a blunt trocar under computed tomography-guidance allows for percutaneous drainage of an intraabdominal abscess, and provides a safer and more effective alternative to more invasive procedures.
Keywords
abdominal - abscess - access - bowel - CT-guided - drainage - hydrodissection - obstructive - percutaneous - trocarPublikationsverlauf
Artikel online veröffentlicht:
26. Dezember 2022
© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Akıncı D, Ergun O, Topel Ç, Çiftçi T, Akhan O. Pelvic abscess drainage: outcome with factors affecting the clinical success. Diagn Interv Radiol 2018; 24 (03) 146-152
- 2 Cope C, Davis AG, Baum RA, Haskal ZJ, Soulen MC, Shlansky-Goldberg RD. Direct percutaneous jejunostomy: techniques and applications–ten years experience. Radiology 1998; 209 (03) 747-754
- 3 Zhao N, Li Q, Cui J, Yang Z, Peng T. CT-guided special approaches of drainage for intraabdominal and pelvic abscesses: one single center's experience and review of literature. Medicine (Baltimore) 2018; 97 (42) e12905
- 4 Cazzato RL, Garnon J, Shaygi B. et al. Performance of a new blunt-tip coaxial needle for percutaneous biopsy and drainage of “hard-to-reach” targets. Cardiovasc Intervent Radiol 2017; 40 (09) 1431-1439
- 5 Arellano RS, Gervais DA, Mueller PR. CT-guided drainage of abdominal abscesses: hydrodissection to create access routes for percutaneous drainage. AJR Am J Roentgenol 2011; 196 (01) 189-191
- 6 Gray RR, Ho CS, Yee A, Montanera W, Jones DP. Direct percutaneous jejunostomy. AJR Am J Roentgenol 1987; 149 (05) 931-932
- 7 Hallisey MJ, Pollard JC. Direct percutaneous jejunostomy. J Vasc Interv Radiol 1994; 5 (04) 625-632