Imaging-guided percutaneous trans-coccygeal drainage of a presacral abscess: A technical report

A 78-years-old male affected by prostate cancer was referred for intermittent sacral pain. Due to septic shock, he underwent contrast-enhanced CT, showing a large abscess (5 cm) with inhomogeneous enhancement located in the presacral space, associated with osteomyelitis. The abscess was treated by interventional radiology techniques by placing a trans-coccygeal drainage, which led to relief of symptoms and recovery from sepsis. • Pre-sacral abscess can be safely treated by interventional radiologist techniques • The patient obtained a satisfactory control of the acute condition • The mini-invasive procedure has low risks in comparison to surgical approach