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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 246-248
DOI: 10.1055/s-0042-1759855
Case Report

Accessing Intraabdominal Abscess for Percutaneous Drainage Using a Trocar Only Technique to Maneuver Intervening Bowel

Hafsa Hussain
1   Northeastern Ohio Medical University, Rootstown, Ohio, United States
,
Feras Deek 
2   Dayton Interventional Radiology, Dayton, Ohio, United States
,
Wajahat Efridi 
3   SUNY Upstate Medical University, Syracuse, New York, United States
,
Azim Shaikh
2   Dayton Interventional Radiology, Dayton, Ohio, United States
,
Mubin Syed
2   Dayton Interventional Radiology, Dayton, Ohio, United States
4   Boonshoft School of Medicine at Wright State, Dayton, Ohio, United States
5   Springfield Regional Medical Center, Springfield, Ohio, United States
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Abstract

Conventional approaches to the drainage of abscess surrounded by bowel contraindicate percutaneous drainage and often involve more invasive laparotomy. We attempt to demonstrate the use of an image-guided blunt trocar to navigate obstructive bowel and access abdominal abscess. This report presents the use of a blunt trocar to safely maneuver obstructive bowel and perform successful percutaneous drainage of intraabdominal abscess in two separate cases: one presenting a left lower quadrant diverticular abscess and the other presenting an abscess in the right lower quadrant. Thus, traversing obstructive bowel using a blunt trocar under computed tomography-guidance allows for percutaneous drainage of an intraabdominal abscess, and provides a safer and more effective alternative to more invasive procedures.

Keywords

abdominal - abscess - access - bowel - CT-guided - drainage - hydrodissection - obstructive - percutaneous - trocar


Publication History

Article published online:
26 December 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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