Percutaneous drainage as an rapid procedure for deep pelvic abscess in the emergency department.

BACKGROUND: Drainage of pelvic abscesses is interventional procedures that should be well planned due to organ contiguity. There are not enough publications in the literature evaluating the treatment methods of pelvic abscess drainage and comparing success rates. METHODS: In this study, 15 patients who underwent pelvic abscess drainage in our interventional radiology unit between June 2017 and December 2019 were retrospectively included. Abscess size, abscess characteristics, the method of access to abscess (transrectal, transvaginal, transgluteal), and drainage treatment procedure (needle aspiration, catheter treatment) were evaluated statistically in terms of effects on the success of treatment. RESULTS: Of the 15 patients included in the study, 6 (40%) were male and 9 (60%) were female, with a mean age of 31.6 years.In 2 of the patients treated with needle aspiration alone, the abscess collection was repeated and the second procedure was performed. In our study, the technical success was 100% and the complete clinical success was 80%. None of the patients underwent open surgery due to abscess after drainage treatment. CONCLUSION: In conclusion, endocavitary and percutaneous drainage treatments of pelvic abscesses are safe and effective treatment methods. The success of needle aspiration treatment is lower than catheter treatment and it should be considered that the abscess collection may recur.

Frequency of anatomical variation of the sacroiliac joint in asymptomatic young adults and its relationship with sacroiliac joint degeneration.

INTRODUCTION: To evaluate the variations of the sacroiliac joint (SIJ) in asymptomatic young adults and their relationship to SIJ degeneration. MATERIALS AND METHODS: A total of 860 SIJs were retrospectively evaluated in 430 abdominal computed tomographies (CT) of abdominal pain cases. The study population consisted of 430 patients (176 female, 254 male) aged 20-45 years with abdominal pain. The anatomical variations of the SIJ were classified as (1) accessory sacroiliac joint, (2) iliosacral complex, (3) bipartite iliac bony plate, (4) semicircular defects, (5) crescent-like iliac bony plate, and (6) ossification center. The CT findings of SIJ degeneration included joint space narrowing, sclerosis, subcortical cysts, vacuum phenomenon, and osteophytes. Chi-square and cross tabulation tests were used for statistical analysis. RESULTS: The iliosacral complex was the most common (bilateral) anatomical variation (7.7%, n = 66). A total of 71 SIJ degenerations were detected in cases with anatomical variations. They were determined in 22 (2.6%) iliosacral complex, 19 (2.2%) bipartite iliac bony plate, 15 (1.7%) accessory sacroiliac joint, 6 (0.7%) semicircular defect, 5 (0.6%) crescent-like iliac bony plate, and 4 (0.5%) ossification center cases. CONCLUSION: We found that iliosacral complex was the most common SIJ variation in asymptomatic young adults and also that there was significantly more SIJ degeneration among subjects with anatomical variations of the SIJ than those without. SIJ degeneration was most common in subjects with the iliosacral complex variation.

Axial Mesodermal Dysplasia Complex with a Unique Abnormal Course of Vestibulocochlear Nerve.

Axial mesodermal dysplasia complex (AMDC) is a combination of multiple congenital malformations arising due to the mesodermal cell migration, neural tube fusion, and rhombencephalon segmentation. Here, we present the imaging findings of a 15-year-old boy with AMDC who has bilateral inner ear malformations associated with a vestibulocochlear nerve extending to Meckel cave, cystic lesion in prepontine cisterna, cervical vertebral segmentation anomalies, and maxillar bone anomalies.