Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Dig Surg. 2009;26(4):329-32. doi: 10.1159/000235821. Epub 2009 Aug 29.
The percutaneous transgluteal approach is a well-accepted method for drainage of deep pelvic abscesses. Recently, in 3 patients, transgluteal drainage was complicated by the development of large gluteal abscesses requiring multiple surgical interventions.
This report describes these cases as well as a search of the literature.
Three patients with a complicated clinical course after colon resection are described. After CT-guided percutaneous transgluteal drainage of the pelvic abscess, large gluteal abscesses were diagnosed after 2-6 weeks. Subsequent surgical interventions were needed to adequately drain these abscesses. In the literature, transgluteal drainage of pelvic abscesses is well described as a safe and efficient method. However, until now the development of gluteal abscesses has not been mentioned as a complication in the literature.
In our own experience, a transrectally (radiologically or surgically performed) drainage route is recommended in patients who develop a deep pelvic abscess after bowel resection and suspicion of an anastomotic leak.
经皮经臀入路是引流深部盆腔脓肿的一种公认方法。最近，在 3 名患者中，经臀引流并发大臀脓肿，需要多次手术干预。
本报告描述了这些病例，并对文献进行了检索。
描述了 3 例结肠切除术后病情复杂的患者。在 CT 引导下经皮经臀盆腔脓肿引流后，2-6 周后诊断出大臀脓肿。需要进行后续的手术干预以充分引流这些脓肿。文献中详细描述了经臀引流盆腔脓肿是一种安全有效的方法。然而，到目前为止，文献中尚未提到臀脓肿的发展是一种并发症。
根据我们的经验，对于直肠切除术后出现深部盆腔脓肿并怀疑吻合口漏的患者，建议经直肠（放射或手术）引流。
