Three doctors join forces to cure pelvic abscess without surgery (Reprint)

  Three doctors joined hands to cure pelvic abscess without surgery Ms. Chen, 40 years old, came to Jiangsu Provincial Hospital of Integrative Medicine with painful lower abdominal cramps. Originally, surgery was planned, but during the inpatient examination, it was found that the patient was severely anemic, in poor health, and with fever, which made surgical treatment inappropriate, so Wan Guiping, director of obstetrics and gynecology, chose to perform ultrasound intervention in the ultrasound department for her.  The interventional treatment started with a smooth puncture, and the needle reached the center of the abscess smoothly under the operation of Director Wu Xinping of the Ultrasound Department. However, the next drainage treatment encountered considerable trouble because the patient’s pelvic mass was thick and the thick pus was difficult to be drained out by the conventional drainage tube because of its thin diameter of only a few millimeters. The ultrasonographers and obstetricians and gynecologists present were very anxious.  At this time, Dr. Zou Chuanbing, the chief urologist who had just completed an interventional procedure in the ultrasound department, learned of the situation and boldly proposed a plan to drain the pus using a set of dilators, guidewires and cystostomy with urological percutaneous nephroscopy. This solution was theoretically feasible, but the dilator and dilating sheath used had a diameter of 0.6 cm, several times the diameter of an ordinary puncture needle, which was a challenge for the ultrasonographer.  In order to get the patient treated as soon as possible, after obtaining the consent of the family, the three directors exchanged views and decided to give it a try. At that time, everyone stared closely at Director Wu’s hand, not daring to make a sound, and the moment we saw the tip of the puncture needle and the guide wire entering the pus cavity on the screen smoothly, our hanging hearts were finally put down and it was successful. The next step was for Director Zou to replace the dilators and sheaths one by one along with the guidewires, and finally place the cystostomy tube to drain the large amount of pus that flowed smoothly to fill a whole curved tray, and the operation was perfectly finished. The patient’s condition was immediately relieved after treatment, and his temperature dropped that night, and his lower abdominal pain was relieved.