Korean J Med.
2000 Jul;59(1):59-63.
A case of intraabdominal abscess cured by transrectal catheter drainage
- Affiliations
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- 1Department of Internal Medicine, Gyeongsang National University College Medicine, Chinju, Korea. ojlee@nongae.gsnu.ac.kr
- 2Department of Radiology, Gyeongsang National University College Medicine, Chinju, Korea.
Abstract
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Intraabdominal abscess, resulting from primary intraperitoneal disease such as appendicitis,
diverticulitis or as a complication of surgery, remains a serious problem with high mortality
if not treated early and adequately. In the case of acute bowel perforation, surgery is the
treatment of choice, but radiologically guided percutaneous drainage is very effective for
the subacute and localized abscess within the peritoneal cavity. However, perirectal abscesses
located deep within the pelvis are unapproachable percutaneously because of interposed
structures such as the urinary bladder, loops of bowel. Transrectal drainage overcomes
these limitations. We present here a case of perirectal abscess treated successfully and safe
with transrectal catheter drainge.