A Case of Postoperative Abscess of Rectovesical Pouch treated by Percutaneous Transvesical Abscess Aspiration

Ei Sekoguchi, Shinji Kondo and Shogo Tokumaru

Department of Surgery, National Health Insurance Sakashita Hospital

We report a case of effective percutaneous transvesical aspiration for a postoperative abscess of rectovesical pouch. An 84-year old man was admitted to our hospital for abdominal pain and vomiting. He was diagnosed with ileus caused by a tumor of the small intestine, and partial resection of the small intestine was performed. On postoperative day 14, he complained of lower abdominal discomfort, and the laboratory data became worse. Enhanced computed tomography indicated an abdominal abscess, 5.5 cm in diameter, occupying the rectovesical pouch. Percutaneous transvesical abscess aspiration was performed, and his clinical conditions began to improve the next day. He was discharged from the hospital 14 days after treatment. Postoperative abscess of rectovesical pouch is comparatively rare. We report this interesting case with some discussion based on the literature.

Key words
abdominal abscess, percutaneous transvesical abscess aspiration, inflammatory fibroid polyp

Reprint requests
Ei Sekoguchi Department of Surgery, National Health Insurance Sakashita Hospital
722-1 Sakashita, Nakatsugawa, 509-9293 JAPAN

Accepted
October 25, 2006

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