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Current Problems in Surgery Jan 1972
Review
Topics: Angiography; Female; Humans; Male; Peritoneal Cavity; Prognosis; Radionuclide Imaging; Sex Factors; Subphrenic Abscess; Urography
PubMed: 4550910
DOI: No ID Found -
Thorax Sep 1956
Topics: Abdomen; Abscess; Subphrenic Abscess
PubMed: 13371571
DOI: 10.1136/thx.11.3.211 -
Annals of Surgery Aug 1963
Topics: Subphrenic Abscess; Surgical Procedures, Operative
PubMed: 14047547
DOI: 10.1097/00000658-196308000-00013 -
Proceedings of the Royal Society of... Mar 1970
Review
Topics: Acute Disease; Anti-Bacterial Agents; Chronic Disease; Drainage; Humans; Subphrenic Abscess
PubMed: 4910863
DOI: No ID Found -
BMC Gastroenterology Apr 2018An intra-abdominal abscess can sometimes become serious and difficult to treat. The current standard treatment strategy for intra-abdominal abscess is percutaneous... (Review)
Review
BACKGROUND
An intra-abdominal abscess can sometimes become serious and difficult to treat. 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. The spread of intervention techniques involving endoscopic ultrasonography (EUS) has made it possible to perform drainage via the transmural route.
CASE PRESENTATION
We describe two cases of subphrenic abscess that occurred after intra-abdominal surgery. Both were treated successfully by EUS-guided transmural drainage (EUS-TD) without severe complications. Our experience of these cases and a review of the literature suggest that the drainage catheters should be placed both internally and externally together into the abscess cavity. In previous cases there were no adverse events except for one case of mediastinitis and pneumothorax resulting from transesophageal drainage. Therefore, we consider that the transesophageal route should be avoided if possible.
CONCLUSIONS
Although further studies are necessary, our present two cases and a literature review suggest that EUS-TD is feasible and effective for subphrenic abscess, and not inferior to other treatments. We anticipate that this report will be of help to physicians when considering the drainage procedure for this condition. As there have been no comparative studies to date, a prospective study involving a large number of patients will be necessary to determine the therapeutic options for such cases.
Topics: Aged; Colectomy; Colonic Neoplasms; Drainage; Endosonography; Female; Humans; Male; Middle Aged; Postoperative Complications; Sigmoid Neoplasms; Subphrenic Abscess
PubMed: 29699494
DOI: 10.1186/s12876-018-0782-2 -
California Medicine Jul 1967Roentgen findings in subphrenic abscess, in the order of their specificity and clinical value, are subphrenic air-fluid level, elevation and restriction of motion of the...
Roentgen findings in subphrenic abscess, in the order of their specificity and clinical value, are subphrenic air-fluid level, elevation and restriction of motion of the diaphragm, pleural reaction with congestion, segmental atelectasis or pneumonitis at the lung base and upper abdominal mass. Less frequently there may be empyema or bronchopleural fistula. Suppression of the infection by antibiotics may protract the course and obscure the clinical findings. Serial x-ray and fluoroscopic studies are recommended when a patient who has had rupture of a viscus or previous abdominal operation does not completely recover or has a persistent lowgrade fever.
Topics: Adult; Child; Diagnosis, Differential; Humans; Male; Middle Aged; Pneumonia; Radiography; Subphrenic Abscess
PubMed: 6045484
DOI: No ID Found -
American Journal of Surgery May 1968
Topics: Adult; Chronic Disease; Diagnosis, Differential; Gold Colloid, Radioactive; Hepatomegaly; Humans; Liver Neoplasms; Male; Radionuclide Imaging; Subphrenic Abscess
PubMed: 5645669
DOI: 10.1016/0002-9610(68)90103-7 -
The British Journal of Surgery Apr 1975Nineteen consecutive cases of subphrenic abscess which were treated in the Royal Hospital for Sick Children, Glasgow, from 1962 to 1972 are analyzed. This complication...
Nineteen consecutive cases of subphrenic abscess which were treated in the Royal Hospital for Sick Children, Glasgow, from 1962 to 1972 are analyzed. This complication of intra-abdominal suppuration of surgery still carries a grave prognosis. Four of the patients died (21 per cent); 2 deaths were related to the subphrenic abscess while the remaining 2 were not directly related to the abscess. The mean hospital stay of the survivors was 59 days (range 30-122 days). The changing patterns of aetiology and presentation which have recently been emphasized in general surgical practice are not reflected in this paediatric series.
Topics: Ampicillin; Appendicitis; Cephalosporins; Child; Child, Preschool; Colitis, Ulcerative; Drainage; Female; Humans; Infant; Male; Peritonitis; Pleural Effusion; Postoperative Complications; Subphrenic Abscess
PubMed: 1131509
DOI: 10.1002/bjs.1800620414 -
The Journal of Emergency Medicine Mar 2021Phlegmonous gastritis (PG) is a rare and potentially fatal disease characterized by bacterial infection of the gastric wall. However, its clinical features are...
BACKGROUND
Phlegmonous gastritis (PG) is a rare and potentially fatal disease characterized by bacterial infection of the gastric wall. However, its clinical features are nonspecific, which may delay its diagnosis and treatment.
CASE REPORT
We report a case of a previously healthy 53-year-old woman with localized PG complicated by subphrenic abscess formation who was treated successfully with antibiotics and percutaneous catheter drainage. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Early diagnosis and treatment initiation are important to improving outcomes. Emergency physicians should consider PG a differential diagnosis of acute abdomen.
Topics: Acute Disease; Anti-Bacterial Agents; Female; Gastritis; Humans; Middle Aged; Subphrenic Abscess
PubMed: 33303274
DOI: 10.1016/j.jemermed.2020.10.019 -
Northwest Medicine Jun 1961
Topics: Humans; Subphrenic Abscess
PubMed: 13707737
DOI: No ID Found