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High presacral collection approached through the perineal route: A novel computed tomography-guided technique


Shuchi Bhatt
Harshit Bansal
Sagar Nayak
Saumya Dangwal

Abstract

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.


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eISSN: 2078-6778
print ISSN: 1027-202X