A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique
A 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324001316 |
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| author | Kazuki Murai, MD, PhD Ken Kageyama, MD, PhD Akira Yamamoto, MD, PhD Mariko Nakano, MD, PhD Atsushi Jogo, MD, PhD Yukio Miki, MD, PhD |
| author_facet | Kazuki Murai, MD, PhD Ken Kageyama, MD, PhD Akira Yamamoto, MD, PhD Mariko Nakano, MD, PhD Atsushi Jogo, MD, PhD Yukio Miki, MD, PhD |
| author_sort | Kazuki Murai, MD, PhD |
| collection | DOAJ |
| description | A 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under CT fluoroscopy using the cranio-caudal puncture technique. The cranio-caudal puncture requires needle insertion perpendicular to the CT cross-section. This method advances the CT gantry deeper than the needle tip and follows the CT cross-section with the needle tip. This series of images and movements continues until the needle reaches the target. The procedure was successful without complications, the abscess was reduced in size, and blood test data improved. The cranio-caudal puncture technique provides an alternative for the drainage of deep pelvic abscesses that avoids the complications associated with gluteal muscle puncture. Percutaneous drainage of pelvic abscesses under CT fluoroscopy-guided cranio-caudal puncture offers a safe option as a puncture route for deep pelvic abscesses. |
| first_indexed | 2024-03-07T14:02:18Z |
| format | Article |
| id | doaj.art-a6729fb451e9456db43287e4c122b5c5 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:47Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-a6729fb451e9456db43287e4c122b5c52024-03-10T05:11:59ZengElsevierRadiology Case Reports1930-04332024-05-0119520812084A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture techniqueKazuki Murai, MD, PhD0Ken Kageyama, MD, PhD1Akira Yamamoto, MD, PhD2Mariko Nakano, MD, PhD3Atsushi Jogo, MD, PhD4Yukio Miki, MD, PhD5Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanCorresponding author.; Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, JapanA 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under CT fluoroscopy using the cranio-caudal puncture technique. The cranio-caudal puncture requires needle insertion perpendicular to the CT cross-section. This method advances the CT gantry deeper than the needle tip and follows the CT cross-section with the needle tip. This series of images and movements continues until the needle reaches the target. The procedure was successful without complications, the abscess was reduced in size, and blood test data improved. The cranio-caudal puncture technique provides an alternative for the drainage of deep pelvic abscesses that avoids the complications associated with gluteal muscle puncture. Percutaneous drainage of pelvic abscesses under CT fluoroscopy-guided cranio-caudal puncture offers a safe option as a puncture route for deep pelvic abscesses.http://www.sciencedirect.com/science/article/pii/S1930043324001316Percutaneous drainagePelvic abscessCranio-caudal approachAxial punctureCT fluoroscopy |
| spellingShingle | Kazuki Murai, MD, PhD Ken Kageyama, MD, PhD Akira Yamamoto, MD, PhD Mariko Nakano, MD, PhD Atsushi Jogo, MD, PhD Yukio Miki, MD, PhD A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique Radiology Case Reports Percutaneous drainage Pelvic abscess Cranio-caudal approach Axial puncture CT fluoroscopy |
| title | A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique |
| title_full | A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique |
| title_fullStr | A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique |
| title_full_unstemmed | A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique |
| title_short | A case of percutaneous deep pelvic abscess drainage using CT fluoroscopic guided cranio-caudal puncture technique |
| title_sort | case of percutaneous deep pelvic abscess drainage using ct fluoroscopic guided cranio caudal puncture technique |
| topic | Percutaneous drainage Pelvic abscess Cranio-caudal approach Axial puncture CT fluoroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324001316 |
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