Image-guided Drainage of Tuboovarian Abscesses of Gastrointestinal or Genitourinary Origin: A Retrospective Analysis

• Published in: Journal of vascular and interventional radiology Vol. 22; no. 5; pp. 678 - 686
• Main Authors: Levenson, Robin B., MD, Pearson, Kara M., MS, PA-C, Saokar, Anuradha, MD, Lee, Susanna I., MD, PhD, Mueller, Peter R., MD, Hahn, Peter F., MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2011
• Subjects: Abscess - diagnostic imaging; Abscess - etiology; Abscess - microbiology; Abscess - therapy; Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents - therapeutic use; Boston; Catheterization - adverse effects; Chi-Square Distribution; Child; Drainage - adverse effects; Drainage - methods; Fallopian Tube Diseases - diagnostic imaging; Fallopian Tube Diseases - etiology; Fallopian Tube Diseases - microbiology; Fallopian Tube Diseases - therapy; Female; Female Urogenital Diseases - complications; Gastrointestinal Diseases - complications; Humans; Middle Aged; Ovarian Diseases - diagnostic imaging; Ovarian Diseases - etiology; Ovarian Diseases - microbiology; Ovarian Diseases - therapy; Ovariectomy; Radiography, Interventional - methods; Radiology; Retrospective Studies; Salpingectomy; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Ultrasonography, Interventional; Young Adult; PID; tuboovarian abscess; pelvic inflammatory disease; TOA
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2010.10.032

Abstract Purpose To analyze the authors' success with image-guided drainage of tuboovarian abscesses (TOAs). Materials and Methods Retrospective analysis of patients with image-guided TOA drainage from 1999 to 2008 was performed. Patient recovery without salpingo-oophorectomy was considered clinical success. A total of 57 TOAs were drained in 49 female patients (mean age, 43; range, 12 to > 89). Results Thirty-three (58%) TOAs were drained percutaneously using computed tomography guidance and 24 were ultrasound guided (21 transvaginally, three transabdominally). Fifty-three TOAs were drained with catheter placement, and four were drained with aspiration alone. Abscess etiologies include pelvic inflammatory disease ( n = 21, 37%), gastrointestinal conditions related ( n = 21, 37%), gynecologic surgery ( n = 8, 14%), and other (12%). Image-guided drainage resolved TOAs without salpingo-oophorectomy in 74% of cases overall (42 of 57) and 88% (29 of 33) of gynecologic-related cases, including 95% (20 of 21) of pelvic inflammatory disease cases. Salpingo-oophorectomy was performed more often in gastrointestinal-related cases (10 of 21, 48%) than for all other causes (five of 36, 14%; P < .001), with concurrent bowel surgery performed in the majority of the gastrointestinal-related cases. Mean follow-up after image-guided drainage was 48 months (range, 1–113) in patients who did not have related surgery. In patients who underwent salpingo-oophorectomy, it was performed on average 2.2 months (range, 0.5–5) after initial drainage. Two minor complications occurred; both involved catheter transgression of the urinary bladder in patients with transvaginal ultrasound-guided drainages. The patients were successfully treated conservatively with Foley catheter bladder decompression, without prolonged hospitalization. Conclusions TOAs, especially of gynecologic origin, can often be managed successfully with image-guided drainage. After image-guided drainage, patients with gynecologic-related TOA were less likely to undergo salpingo-oophorectomy than patients with gastrointestinal-related TOAs.