An abscess is a collection of fluid with inflammatory or infectious contents within it. Abscesses can occur in various parts of the body including the lower abdomen or pelvic region. Pelvic abscesses can arise for a variety of reasons such as diverticulitis, surgical complications or other inflammatory disorders.
Pelvic abscesses may cause various symptoms including abdominal pain, cramping, nausea, vomiting, fever, chills, and sweats.
The conventional therapy for these patients has been either percutaneous drainage (PCD) or surgery. PCD involves plastic drain placed through the skin into the abscess to drain it. Alternatively, a surgeon can dissect into the abdomen to the level of the abscess and drain it from the inside.
The majority of these collections surround the rectum, which allows endoscopists to easily access and drain pelvic abscesses from inside the body. An endoscope can be inserted into the rectum and a stent (plastic or metal tube) can be inserted into the pelvic abscess through the rectum and drain the abscess internally. EUS-guided drainage of pelvic abscesses has been shown to be safe and effective and is the least invasive option for patients.
Are you interested in learning more about EUS-guided pelvic abscess drainage, or other treatment options? We invite you to contact us to learn more. Dr. Prashant Kedia is a therapeutic endoscopist and gastroenterologist serving patients in the Dallas-Fort Worth area and beyond. Call today to schedule an appointment at (214) 941-6891.