A pelvic abscess refers to a walled-off collection of pus in the pelvis.
Some of the causes include:
- pelvic inflammatory disease (tubo-ovarian abscess)
- iatrogenic e.g. post-surgical
- inflammatory bowel disease
Presenting complaints are varied and include pelvic or low back pain accompanied by fever and leukocytosis.
Treatment and prognosis
Percutaneous abscess drainage which is the standard treatment for abdominal and pelvic abscesses in the absence of an acute surgical abdomen. Broad-spectrum antibiotic therapy is given concurrently.
- 1. Beland MD, Gervais DA, Levis DA et-al. Complex abdominal and pelvic abscesses: efficacy of adjunctive tissue-type plasminogen activator for drainage. Radiology. 2008;247 (2): 567-73. Radiology (full text) - doi:10.1148/radiol.2472070761 - Pubmed citation
- 2. Gee MS, Kim JY, Gervais DA et-al. Management of abdominal and pelvic abscesses that persist despite satisfactory percutaneous drainage catheter placement. AJR Am J Roentgenol. 2010;194 (3): 815-20. AJR Am J Roentgenol (full text) - doi:10.2214/AJR.09.3282 - Pubmed citation
- 3. Gervais DA, Ho CH, O'Neill MJ et-al. Recurrent abdominal and pelvic abscesses: incidence, results of repeated percutaneous drainage, and underlying causes in 956 drainages. AJR Am J Roentgenol. 2004;182 (2): 463-6. AJR Am J Roentgenol (full text) - Pubmed citation