What is a subphrenic abscess?

What is a subphrenic abscess?

Subphrenic abscesses represent infected collections bounded above by the diaphragm, and below by the transverse colon and mesocolon, and the omentum. They typically arise from abdominal surgery, trauma, or local inflammation in the space between the liver, intestines, and lungs, making drainage a challenge.

How is a subphrenic abscess treated?

The current standard treatment strategy for intra-abdominal abscess is percutaneous imaging-guided drainage. However, in cases of subphrenic abscess, it is important to avoid passing the drainage route through the thoracic cavity, as this can lead to respiratory complications.

What is intraperitoneal abscess?

Definition. Intra-abdominal abscess (IAA), also known as intraperitoneal abscess, is an intra-abdominal collection of pus or infected material and is usually due to a localized infection inside the peritoneal cavity.

What is Interloop abscess?

Small bowel interloop abscesses may develop anywhere from the ligament of Treitz to the ileum. An understanding of these anatomic considerations is important for the recognition and drainage of these abscesses.

What are the symptoms of an abdominal abscess?

What are the symptoms of an intra-abdominal abscess?

• Fever.
• Belly pain.
• Chest pain or shoulder pain.
• Lack of appetite.
• Nausea and vomiting.
• Change in bowel movements.
• Rectal tenderness or fullness.
• Mass in the belly.

How are Subdiaphragmatic abscess usually diagnosed?

Elevated Diaphragm A subphrenic abscess is not a rare cause of unilateral elevation of the diaphragm following abdominal surgery. It is usually accompanied by pleural effusion. Chest radiographs alone may confirm the diagnosis when localized collections of air are demonstrated below the diaphragm (see Fig.

How do you know if you have an abdominal abscess?

Specific symptoms of abdominal abscesses depend on the location of the abscess, but most people have constant discomfort or pain, feel generally sick (malaise), and often have a fever. Other symptoms include nausea, loss of appetite, and weight loss.

What causes abscess in the left subphrenic space?

Left Subphrenic Abscesses. Abscesses in the left subphrenic space may result from perforated anterior ulcers of the stomach or duodenal bulb, but they are seen particularly as complications of gastric or colonic surgery and of splenectomy.

Can a subphrenic abscess be a pleural effusion?

A subphrenic abscess is not a rare cause of unilateral elevation of the diaphragm following abdominal surgery. It is usually accompanied by pleural effusion. Chest radiographs alone may confirm the diagnosis when localized collections of air are demonstrated below the diaphragm (see Fig. 4.2, A and B ).

What kind of surgery is needed for subphrenic abscess?

The vast majority of subphrenic abscesses are postoperative, often resulting from pancreatic, gastric, or biliary surgery. Anatomically, they are located in a difficult position with the pleural attachment often making an extrapleural access route a technical challenge.

What kind of fluid is in a subphrenic abscess?

In general, there is an infradiaphragmatic localized collection of fluid with gas bubbles or gas-fluid level which has an enhancing wall. It is often combined with elevation of the hemidiaphragm and a pleural effusion.