Subphrenic Abscess


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Subphrenic Abscess

 

an accumulation of pus, often with gas, under the diaphragm; a complication from acute inflammatory diseases of the organs of the abdominal cavity, including appendicitis, cholecystitis, and perforated ulcer of the stomach or duodenum, or from traumatic injuries to the organs accompanied by peritonitis.

Subphrenic abscess is one of the more frequent occurrences of what are called residual intra-abdominal abscesses. More rarely observed are extraperitoneal subphrenic abscesses, located between the diaphragm and the diaphragmatic peritoneum—a complication of retroperitoneal phlegmon or paranephritis. Subphrenic abscess is manifested by fever, chills, and pains in the thorax and the hypochondrium on the affected side. There is often an accumulation of exudate in the pleural cavity. X-ray data, which are important in diagnosing subphrenic abscess, include limitation of mobility of the cupula of the diaphragm and the fact that it stands high and the presence of gas with a level of fluid under the diaphragm. The only treatment is surgical. Preventative measures consist in early diagnosis and surgical treatment of diseases that can lead to the condition.

V. A. PENIN

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Zablan diagnosed "acute perforated appendicitis, large periappendiceal abscess, subphrenic abscess, peritonitis." He performed emergency surgery, which consisted of "an exploratory laparotomy, extensive lysis of inflammatory adhesion, appendectomy, peritoneal irrigation and drainage of peritonitis and subphrenic abscess." After the operation, the patient was diagnosed with pneumonia.
(a) Exudate Malignancy 23 23 23 Tuberculosis 10 10 10 Pneumonia 3 3 2 Empyema 1 1 1 Cholangitis 1 1 1 Acute pancreatitis 1 1 1 Parapneumonic disease 2 2 1 Reactive effusion to 1 1 1 chest infection Reactive effusion to 1 1 1 subphrenic abscess Total 43 43 41 Transudate Cirrhosis 1 1 1 Nephrotic syndrome 1 0 1 End-stage renal failure 2 0 0 Congestive heart failure 2 2 1 Acute pulmonary edema 1 0 0 Hypoalbuminemia related 1 1 0 to malnutrition Total 8 4 3
Common reported causes of hiccup are gastric distension, gastritis, gallbladder distension, subphrenic abscess, pancreatitis, esophageal obstruction, pneumonia, alcohol, uremia, mediastinal tumor, cervical tumor, intracranial tumor, brain stem lesion, head injury, encephalitis, meningitis, and psychogenic sources.(2),(3),(4)
Percutaneous drainage of subphrenic abscess: a review of 62 patients.
We therefore concluded that this fusion could not have been a complication of a subphrenic abscess.