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Pelvic abscess though uncommon, can be seen as a collection of inflammatory purulent (discharge of pus) material that may form secondary to any infection within the pelvis.
An abscess is an abnormal collection of pus (a yellowish-white fluid that contains white blood cells, dead and damaged tissue, and bacteria) within a confined or walled-off area which may gradually increase in size and when internally present abscesses are left untreated, they may even burst to cause life-threatening complications. Pelvic abscesses are more prevalent among women than men and present with symptoms like abdominal or pelvic pain and discomfort. It can be managed through conservative (non-surgical) and several surgical methods depending on the size and severity of the condition.
This article will discuss a type of surgical abscess drainage known as endoscopic drainage, the procedure, its benefits, and the risks involved.
A pelvic abscess is a rare form of abscess that commonly occurs in the pelvic region of women. It may begin at the lower genital areas and gradually spread to the fallopian tubes, ovaries, and lower abdomen. If present in men, it is found over the prostrate. This inflammatory collection of pus forms either secondary to any infection (caused by bacteria) in your body, like pelvic inflammatory disease (PID), previous abdominal or gynecological surgeries, trauma, or as a complication of appendicitis (inflammation of the appendix).
Abdominal and pelvic pain is a classical symptom of a pelvic abscess, along with other symptoms like fever, presence of pelvic mass, vaginal bleeding or discharge, nausea, vomiting, diarrhea (frequent loose stools), and frequent urination.
Treatment of a pelvic abscess depends on the size of the abscess and the severity of the symptoms.
A pelvic abscess endoscopic drainage is a minimally invasive (involves minimal pain and trauma to surrounding structures) alternative to other surgical drainage procedures that help drain a pelvic abscess and use a special device called an “Echoendoscope.”
This medical device differs from a conventional endoscope since an echoendoscope is a long thin tube that contains an ultrasound microphone at one end of the tube, which allows the visualization of the internal abdominal or pelvic region for needle insertion and placement of a catheter (a thin tube used for draining pus).
The microphone at the tip of the device converts electrical energy into sound energy to help determine the location of the pelvic abscess with the help of ultrasound-guided images.
Endoscopic pelvic abscess drainage is a minimally invasive daycare procedure (does not require hospitalization), which should be performed by a well-trained surgeon and an interventional radiologist to help with image guidance.
Endoscopic pelvic abscess drainage is a safe procedure performed under fluoroscopy (a medical procedure to analyze the movements internally by injecting a dye and passing X-ray beams through the body).
After the drainage, you will be kept in a recovery room for observation with continuous monitoring of your vitals like BP (blood pressure), blood sugar levels, pulse, heart rate, and urine output.
Endoscopic pelvic abscess drainage is a safe and effective alternative to other surgical drainage methods with the following benefits.
Benefits
Risks
Though safe and effective, endoscopic pelvic abscess drainage has its own side effects and risks:
There could be occasional bleeding around the catheter being placed.
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