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An abnormal buildup of inflammatory fluid called pus (a yellowish-white fluid consisting of white blood cells, microorganisms, and dead tissues) is an abscess that can occur anywhere in your body. An abscess in the female pelvis is called a pelvic abscess, with men rarely affected by it. When your body is inflicted with an infection, an inflammatory response occurs as a defense mechanism to fight off the infection. This results in the accumulation of pus within a confined area (pocket or sac) which may cause pain and discomfort. A pelvic abscess can be managed through non-surgical and several surgical methods depending on the size and severity of the condition. But abscess drainage remains the most classical method of treatment, which is safe and effective. One such drainage method discussed further in the article is percutaneous drainage of the pelvic abscess. So, read on!
Management of a pelvic abscess depends on the size, extent of the abscess, and severity of the symptoms. A pelvic abscess, when small and in an early stage, can be managed through antibiotics alone, which are determined based on the blood culture reports ( a type of blood analysis that checks for the growth of organisms to determine the type of antibiotics that would best work to fight the infection).
However, percutaneous drainage is the standard treatment of choice when a large pelvic abscess presents with severe abdominal pain and discomfort, negatively affecting your quality of life. It is also recommended when there is no indication for emergency surgery.
Pelvic abscess percutaneous drainage is the standard and first-line treatment for infected and symptomatic (when symptoms are severe) pelvic abscesses. It is typically performed without indications for immediate or emergency surgery. It is a relatively non-invasive procedure (does not involve trauma to the surrounding structures, incisions, or cuts) performed under image guidance through ultrasound or CT (Computed Tomography) scan. Percutaneous means "through the skin," where a thin needle is inserted into the abscess to collect the pus sample, and later a catheter (a thin, flexible tube) is placed for several days to drain the pus.
Percutaneous drainage is an image-guided procedure performed by a specially trained interventional radiologist.
Percutaneous drainage of the pelvic abscesses is a safe and non-invasive procedure that may require you to stay overnight in the hospital, so you must make arrangements accordingly. It is important to be well prepared before the procedure for a successful outcome and speedy recovery by following guidelines:
A pelvic abscess is the collection of pus within a defined wall (sac) of inflammatory tissue. These are usually uncommon abscesses but, when occurring, may cause lower abdominal pain, fever, presence of pelvic mass, vaginal bleeding or discharge, fatigue (weakness), nausea, vomiting, diarrhea (frequent loose stools), and frequent urination.
A pelvic abscess may typically occur in females in the pouch of Douglas, fallopian tube, and ovaries following lower abdominal surgeries. It can develop as a complication of appendicitis (inflammation of the appendix), pelvic inflammatory disease (PID), or lower genital tract infections.
You will remain in the recovery room for 1 to 2 hours, with your vitals monitored continuously until you are awake and ready to be shifted to your hospital bed.
Image-guided percutaneous pelvic abscess drainage is a safe and non-invasive procedure with the following benefits.
Benefits
Risks
As with any medical procedure, percutaneous drainage of a pelvic abscess also has some associated risks:
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