Abstract

BHATT, Shuchi; BANSAL, Harshit; NAYAK, Sagar  and  DANGWAL, Saumya. High presacral collection approached through the perineal route: A novel computed tomography-guided technique. S. Afr. J. radiol. (Online) [online]. 2021, vol.25, n.1, pp.1-6. ISSN 2078-6778.  http://dx.doi.org/10.4102/sajr.v25i1.2014.

For a definitive diagnosis of abdomino-pelvic lesions, percutaneous aspiration or biopsy is often necessary; however, finding a safe 'window' for access is challenging. This case report discusses a novel method to approach a deep pelvic collection and also briefly reviews the various approaches to access such lesions. A sample was obtained from a non-resolving presacral collection using a CT-guided percutaneous, trans-perineal approach with repeated sessions of hydro-dissection. Successful aspiration and analysis revealed multi-drug resistant tuberculosis, thus guiding appropriate management.

Keywords : MDR; TB; infectious medicine; interventional radiology; trans-perineal.

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