Transvaginal Drainage of Pelvic Fluid Collections: Results, Expectations, and Experience
Anuradha Saokar1,2,
Ronald S. Arellano1,
Debra A. Gervais1,
Peter R. Mueller1,
Peter F. Hahn1 and
Susanna I. Lee1
1 Department of Radiology, Massachusetts General Hospital, Boston, MA
02114.
2 Present address: Department of Radiology, Boston Medical Center, 820 Harrison
Ave., FGH Bldg. 3rd Fl., Boston, MA 02118.
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Fig. 2A —20-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of right tuboovarian abscesses. Transvaginal
sonographic images show tuboovarian abscess before (A) and after
(B) catheter deployment into fluid collection.
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Fig. 2B —20-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of right tuboovarian abscesses. Transvaginal
sonographic images show tuboovarian abscess before (A) and after
(B) catheter deployment into fluid collection.
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Fig. 3A —30-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of tuboovarian abscess located posterior to
uterus. Transvaginal sonographic images show abscess before (A) and
during (B) catheter placement. In A, calipers Aand B measure
lesion dimensions as 3.9 and 3.0 cm, respectively.
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Fig. 3B —30-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of tuboovarian abscess located posterior to
uterus. Transvaginal sonographic images show abscess before (A) and
during (B) catheter placement. In A, calipers Aand B measure
lesion dimensions as 3.9 and 3.0 cm, respectively.
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Fig. 3C —30-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of tuboovarian abscess located posterior to
uterus. Axial CT scan obtained 1 day after procedure shows that catheter has
transgressed urinary bladder (opacified with contrast medium).
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Fig. 3D —30-year-old woman with pelvic inflammatory disease who
underwent catheter drainage of tuboovarian abscess located posterior to
uterus. Fluoroscopic image from catheter injection study performed 1 day after
CT shows opacification of urinary bladder (long arrow) on injection
of inferior catheter (short arrow). Superior catheter
(arrowhead) was placed under CT guidance and did not communicate with
urinary bladder or bowel.
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Fig. 4 —33-year-old woman with history of borderline malignant tumor
of ovary. Sonographic image obtained immediately before sonographically guided
transvaginal aspiration of complex ovarian cystic lesion shows thick irregular
walls and septations that had recurred after four transvaginal aspirations.
Lesion was surgically removed and at pathologic examination proved to be
serous ovarian tumor of borderline malignancy. Calipers 1 and 2 measure lesion
dimensions as 7.1 and 4.6 cm, respectively.
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Copyright © 2008 by the American Roentgen Ray Society.
