Transvaginal Drainage of Pelvic Fluid Collections Unsuitable for Transabdominal Approach
Purpose To evaluate the efficacy and safety of ultrasonography- and fluoroscopy-guided transvaginal catheter drainage for pelvic fluid collection. Materials and Methods This single-center retrospective study included nine female patients who underwent transvaginal drainage for pelvic fluid collec...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2025-03-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2023.0139 |
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| Summary: | Purpose To evaluate the efficacy and safety of ultrasonography- and fluoroscopy-guided
transvaginal catheter drainage for pelvic fluid collection.
Materials and Methods This single-center retrospective study included nine female patients
who underwent transvaginal drainage for pelvic fluid collection unsuitable for transabdominal
access between October 2016 and January 2023. The study analyzed patient
symptoms and signs, ultrasonography and CT findings, transvaginal approach details, and
technical and clinical outcomes, including complications. Catheters of size 7 or 8.5-Fr, with
or without an endocavitary needle guide were used for the puncture.
Results Pelvic fluid collections were primarily post-operative (n = 7) or from patients with
primary tubo-ovarian abscesses (n = 2). All patients achieved technical success, defined as
the successful insertion of the drainage catheter at the site of target fluid collection, and
clinical success, defined as the improvement of symptoms with catheter removal within 1
week. In seven cases, the procedure was assisted by an endocavitary needle guide. The
median catheter indwelling period was 2 days, with two minor complications: accidental
catheter removal and urinary bladder puncture, both of which were managed without further
complications.
Conclusion Ultrasonography- and fluoroscopy-guided transvaginal drainage are effective
and safe methods for managing pelvic fluid collections that are unsuitable for a transabdominal
approach. |
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| ISSN: | 2951-0805 |