The procedure, with its potential risks and complications, was discussed with the patient, including the option of not performing the procedure. Verbal and written consent was obtained. We are thankful to the referring team for organising the written consent. Time-out: A time-out was observed to confirm the correct patient, procedure, and site. Findings: The collection with gas and fluid content was identified and its relation with the sigmoid colon reviewed under ultrasound. The best safe approach was planned. Procedure: With the patient in supine position, the skin was prepped and draped in usual sterile fashion. Local anaesthesia was performed using 1% lidocaine. Under ultrasound guidance, the 12 Fr multipurpose drainage catheter was inserted into the collection. Brownish thick fluid drained spontaneously.