Endoscopic Ultrasound Guided Drainage of a Complex Perirectal Abscess via Fine Needle Aspiration without Transmural Stent Placement

Oncology, Gastroenterology and Hepatology Reports,2013,2,2,60-62.
Published:July 2013
Type:Case Report
Author(s) affiliations:

Madeleine Birch and Douglas G. Adler MD, FACG, AGAF, FASGE

University of Utah School of Medicine, Salt Lake City, Utah


A 27-year-old male presented with lower pelvic pain after developing diarrhea and low-grade fevers one week after undergoing an uncomplicated laparoscopic appendectomy due to acute appendicitis. The patient’s appendix was not perforated during the procedure and recovery from the appendectomy was unremarkable prior to this point. He presented for repeat evaluation eleven days postoperatively with low pelvic pain and a perception of bladder pressure. He continued to experience fevers up to 101.2 degrees Fahrenheit. A CT scan was obtained and identified a rim enhancing, complex fluid collection consistent with a low pelvic abscess within the rectovesciular region measuring 6.6 × 5.7 × 6.0 cm with apparent adjacent reactive sigmoid colitis. (Figures 1a and 1b) The patient was admitted for intravenous antibiotic administration and consideration of percutaneous drain placement via interventional radiology. Read more.....