CT-Guided Placement of a Drainage Catheter Within a Pelvic Abscess Using a Transsacral Approach |
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Authors: | Toshihiro Iguchi Shinya Asami Shinichiro Kubo Hitoshi Kin Kuniaki Katusi Jun Sakurai Takao Hiraki Susumu Kanazawa |
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Institution: | (1) Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho Fukuyama, 721-8511, Japan;(2) Department of Surgery, Fukuyama City Hospital, 5-23-1 Zao-cho Fukuyama, 721-8511, Japan;(3) Department of Radiology, Okayama University Medical School, 2-5-1 Shikata-cho Okayama, 700-8558, Japan |
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Abstract: | A 66-year-old man underwent CT-guided drainage catheter placement within a pelvic abscess with a diameter of 46 mm. We performed
the drainage by a transsacral approach because it was considered the safest and most feasible approach. An 8G bone marrow
biopsy needle was used to penetrate the sacrum to create a path for subsequent drainage catheter insertion. After withdrawal
of the biopsy needle, a 6 Fr catheter was advanced into the abscess cavity through the path using the Seldinger technique.
Except for bearable pain, no procedure-related complications occurred. Twenty-nine days after the placement, the catheter
was withdrawn safely and the abscess cavity had shrunk remarkably. |
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Keywords: | Abscess Drainage Transsacral approach |
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