PDF(Pubmed)
Abstract：
Sigmoid diverticulitis can potentially lead to the development of pelvic abscesses. Mortality rate from intra-abdominal abscesses is as high as 35%, and patients with diverticulitis complicated by an abscess are at a high risk of recurrent diverticulitis. Recently, image-guided drainage has been performed using computed tomography or ultrasonography for the treatment of pelvic abscesses. Standard radiological pelvic abscess image-guided drainage methods consist of transabdominal, transgluteal, or cranio-caudal puncture approaches. However, these standard approaches have technical limitations due to intrapelvic organ structures. Therefore, we performed image-guided drainage using a percutaneous trans-bladder approach with a simpler 1-step puncture method and a less invasive 7-Fr drainage catheter in 2 cases of a 72-year-old female and a 53-year-old female with relapsed pelvic abscesses complicated by sigmoid diverticulitis due to difficulties involving the standard approach. The abscesses in both cases disappeared on follow-up computed tomography scans, demonstrating no pelvic abscess recurrence. Our results showed that trans-bladder image-guided drainage is an effective alternative method for treating pelvic abscesses.
摘要：
乙状结肠憩室炎可能导致盆腔脓肿的发展。腹内脓肿死亡率高达35%,合并脓肿的憩室炎患者发生复发性憩室炎的风险很高。最近,已使用计算机断层扫描或超声检查进行了图像引导引流，以治疗盆腔脓肿。标准的放射盆腔脓肿图像引导引流方法包括经腹，跨臀肌,或者颅尾穿刺方法。然而,由于骨盆内器官结构，这些标准方法具有技术局限性。因此,我们对2例72岁女性和53岁女性患者进行了图像引导引流术,患者采用更简单的一步穿刺法及侵入性较小的7-Fr引流导管,患者因标准入路困难而复发性盆腔脓肿并发乙状结肠憩室炎.在随访的计算机断层扫描中，两种情况下的脓肿都消失了，显示无盆腔脓肿复发。我们的结果表明，经膀胱图像引导引流是治疗盆腔脓肿的有效替代方法。
