Radiology, Vol 182, 399-402, Copyright © 1992 by Radiological Society of North America

ARTICLES

Percutaneous drainage of tubo-ovarian abscesses

G Casola, E vanSonnenberg, HB D'Agostino, CP Harker, RR Varney and D Smith
Department of Radiology, University of California, San Diego Medical Center 92103.

The authors performed percutaneous drainage of 27 tubo-ovarian abscesses (TOAs) in 16 patients in whom medical therapy with triple antibiotics prior to catheter drainage had not been successful. Percutaneous drainage was successful in 15 of 16 patients (94%). One patient underwent total abdominal hysterectomy and bilateral salpingo- oophorectomy 3 days after catheter placement because of persistent symptoms and lack of drainage from the catheter; at laparotomy, a large infected phlegmon was found. Two patients had recurrent disease at 3 and 4 months after catheter placement. Bilateral salpingectomy was performed in one patient and total abdominal hysterectomy and bilateral salpingo-oophorectomy in the other. One of these patients had cervical carcinoma, and the other had a long history of recurrent pelvic inflammatory disease and TOAs. The long-term avoidance of surgery was 81.2%. Access routes for catheter drainage were through the anterior abdominal wall for 10 abscesses, through the posterior transgluteal route for 11, and through the transvaginal route for six. Duration of drainage was 1-20 days (mean, 6 days). Complications consisted of transient sciatic pain in two patients and mild bacteremia in one. The results indicate that percutaneous drainage of TOAs is effective in patients in whom medical therapy is not successful.

This article has been cited by other articles:

				A. Saokar, R. S. Arellano, D. A. Gervais, P. R. Mueller, P. F. Hahn, and S. I. Lee Transvaginal Drainage of Pelvic Fluid Collections: Results, Expectations, and Experience Am. J. Roentgenol., November 1, 2008; 191(5): 1352 - 1358. [Abstract] [Full Text] [PDF]

				J. P. McGahan and C. Wu Sonographically Guided Transvaginal or Transrectal Pelvic Abscess Drainage Using the Trocar Method with a New Drainage Guide Attachment Am. J. Roentgenol., November 1, 2008; 191(5): 1540 - 1544. [Abstract] [Full Text] [PDF]

				E. Walser, S. Raza, A. Hernandez, O. Ozkan, M. Kathuria, and D. Akinci Sonographically Guided Transgluteal Drainage of Pelvic Abscesses Am. J. Roentgenol., August 1, 2003; 181(2): 498 - 500. [Full Text] [PDF]

				B. C. Lee, J. P. McGahan, and B. Bijan Single-Step Transvaginal Aspiration and Drainage for Suspected Pelvic Abscesses Refractory to Antibiotic Therapy J. Ultrasound Med., July 1, 2002; 21(7): 731 - 738. [Abstract] [Full Text] [PDF]

				J. C. Varghese, M.-J. O'Neill, D. A. Gervais, G. W. Boland, and P. R. Mueller Transvaginal Catheter Drainage of Tuboovarian Abscess Using the Trocar Method: Technique and Literature Review Am. J. Roentgenol., July 1, 2001; 177(1): 139 - 144. [Full Text] [PDF]

				M. J. O'Neill, E. A. Rafferty, S. I. Lee, R. S. Arellano, D. A. Gervais, P. F. Hahn, I. C. Yoder, and P. R. Mueller Transvaginal Interventional Procedures: Aspiration, Biopsy, and Catheter Drainage RadioGraphics, May 1, 2001; 21(3): 657 - 672. [Abstract] [Full Text] [PDF]

				T. E. Velling, F. J. Brennan, L. D. Hall, and J. T. Watabe Role of the Interventional Radiologist in Treating Obstetric--Gynecologic Pathology Am. J. Roentgenol., November 1, 2000; 175(5): 1273 - 1278. [Full Text] [PDF]

				J. J. Trambert Percutaneous Interventions in the Presacral Space: CT-guided Precoccygeal Approach-Early Experience Radiology, December 1, 1999; 213(3): 901 - 904. [Abstract] [Full Text]