The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Z Gastroenterol. 2021 Oct;59(10):1053-1058. doi: 10.1055/a-1581-8777. Epub 2021 Oct 12.
Drainage is essential for source control of the infection in a pelvic abscess. The purpose of this study was to report 2 cases of endoscopic ultrasound (EUS)-guided drainage of the pelvic abscess and review the literature of different modalities of EUS-guided drainage of pelvic abscess.
A 60-year-old male developed a pelvic abscess 1 month after laparoscopic complete tumor resection. An abdominal CT showed a mass shadow (about 7.1 cm × 5.1 cm) in the right pelvic region. Another case was an 85-year-old male who developed a pelvic abscess 3 days after recurrent tumor resection of multiple organs. The CT showed pelvic effusion and gas accumulation (approximately 6.5 cm × 4.2 cm), and the intestinal tube above the small intestinal anastomosis was dilated with effusion. A 19G-A puncture needle was used to puncture the abscess. An 8-mm cylindrical balloon was inserted, followed by a 10 Fr-3 cm double pigtail stent and an 8.5 Fr drainage tube. After EUS-guided drainage of pelvic abscess, the symptoms disappeared without recurrence.
EUS-guided drainage is an effective and safe method for treating pelvic abscesses as long as the drainage modality is appropriately selected based on the etiology, size, and mucus viscosity of the abscess.
引流对于感染源控制在盆腔脓肿中是至关重要的。本研究的目的是报告 2 例经内镜超声（EUS）引导下引流盆腔脓肿的病例，并复习不同方式的 EUS 引导下引流盆腔脓肿的文献。
一名 60 岁男性在腹腔镜全肿瘤切除术后 1 个月出现盆腔脓肿。腹部 CT 显示右盆腔区有一肿块影（约 7.1cm×5.1cm）。另一个病例是一名 85 岁男性，在多次器官复发性肿瘤切除术后 3 天出现盆腔脓肿。CT 显示盆腔积液和气积聚（约 6.5cm×4.2cm），小肠吻合口上方的肠管因积液而扩张。使用 19G-A 穿刺针穿刺脓肿。插入一个 8mm 圆柱形球囊，随后插入一个 10Fr-3cm 双猪尾支架和一个 8.5Fr 引流管。在经 EUS 引导下引流盆腔脓肿后，症状消失且无复发。
只要根据脓肿的病因、大小和黏液黏度选择适当的引流方式，EUS 引导下引流是治疗盆腔脓肿的有效且安全的方法。
