Clin Endosc.  2017 May;50(3):297-300. 10.5946/ce.2016.123.

Endoscopic Ultrasound-Guided Perirectal Abscess Drainage without Drainage Catheter: A Case Series

• Choi EK
• Kim JH
• Jeong SU
• Na SY
• Boo SJ
• Kim HU
• Song BC

• KMID: 2388828
• DOI: http://doi.org/10.5946/ce.2016.123

Abstract

A perirectal abscess is a relatively common disease entity that occurs as a postsurgical complication or as a result of various medical conditions. Endoscopic ultrasound (EUS)-guided drainage was recently described as a promising alternative treatment. Previous reports have recommended placement of a drainage catheter through the anus for irrigation, which is inconvenient to the patient and carries a risk of accidental dislodgement. We report four cases of perirectal abscess that were successfully treated with only one or two 7 F double pigtail plastic stent placements and without a drainage catheter for irrigation.

Keyword

Endosonography; Perirectal abscess; Drainage

MeSH Terms

Abscess*
Anal Canal
Catheters*
Drainage*
Endosonography
Humans
Plastics
Stents
Ultrasonography
Plastics

Figure

• 

  Fig. 1. Initial computed tomography (CT) image showing an 83×60 mm abscess cavity (arrow heads) with an enhancing wall.

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  Fig. 2. Curved linear-array endoscopic ultrasound (EUS) image showing the 19-gauge needle within the abscess cavity.

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  Fig. 3. Endoscopic image of two double pigtail plastic stents in the rectum.

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  Fig. 4. Fluoroscopic image showing the echoendoscope and two double pigtail stents that were placed in the abscess cavity.

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  Fig. 5. Follow-up computed tomography (CT) image showing complete resolution of the abscess with the stents.

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