CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 246-248
DOI: 10.1055/s-0042-1759855
Case Report

Accessing Intraabdominal Abscess for Percutaneous Drainage Using a Trocar Only Technique to Maneuver Intervening Bowel

Hafsa Hussain
1   Northeastern Ohio Medical University, Rootstown, Ohio, United States
2   Dayton Interventional Radiology, Dayton, Ohio, United States
3   SUNY Upstate Medical University, Syracuse, New York, United States
Azim Shaikh
2   Dayton Interventional Radiology, Dayton, Ohio, United States
Mubin Syed
2   Dayton Interventional Radiology, Dayton, Ohio, United States
4   Boonshoft School of Medicine at Wright State, Dayton, Ohio, United States
5   Springfield Regional Medical Center, Springfield, Ohio, United States
› Author Affiliations


Conventional approaches to the drainage of abscess surrounded by bowel contraindicate percutaneous drainage and often involve more invasive laparotomy. We attempt to demonstrate the use of an image-guided blunt trocar to navigate obstructive bowel and access abdominal abscess. This report presents the use of a blunt trocar to safely maneuver obstructive bowel and perform successful percutaneous drainage of intraabdominal abscess in two separate cases: one presenting a left lower quadrant diverticular abscess and the other presenting an abscess in the right lower quadrant. Thus, traversing obstructive bowel using a blunt trocar under computed tomography-guidance allows for percutaneous drainage of an intraabdominal abscess, and provides a safer and more effective alternative to more invasive procedures.

Publication History

Article published online:
26 December 2022

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