"Subphrenic abscess"

Endoscopic ultrasound-guided transmural drainage for subphrenic abscess: report of two cases and a literature review. 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. 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

Drainage of a Subphrenic Abscess Followed by Two-Stage Gastrectomy and Adjuvant Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Perforated Gastric Carcinoma: A Case Report BACKGROUND Perforated gastric cancer accounts for less than 1% of patients who present with an acute abdomen and for up to 16% of all gastric perforations. A two-stage laparoscopic procedure may be the therapeutic strategy of choice in selected patients, and adjuvant hyperthermic intraperitoneal chemotherapy (HIPEC) can reduce the incidence of peritoneal recurrence. A rare case of subphrenic abscess and gastric perforation due to carcinoma of the gastric fundus, followed by two-stage gastrectomy and adjuvant HIPEC is presented. CASE REPORT A 65-year old man presented with a left subphrenic abscess secondary

Cardiac Tamponade Provoked by a Subphrenic Abscess

patients. The patient had another operation. 5.7 Subphrenic abscess (drained under radiological guidance) occurred in 1 patient in the case series of 50 patients. 5.8 Stricture in the gastric sleeve (which led to dysphagia) needing dilatation occurred in 1 patient in the case series of 123 patients. 5.9 Reoperation due to early postoperative ulcer was needed in 1 patient in the case series of 123

strongyloides) * Transudate – increased hydrostatic pressure (heart and liver failure, fluid overload), decreased oncotic pressure (nephrotic syndrome, loosing protein), negative pleural pressure (atelectasis) * Exudate – parapneumonic effusion, empyema, subphrenic abscess, pancreatitisMany bugs can cause pleural effusion, including many types of pyogenic bacterial pneumonias, Chlamydophila species

and free intraabdominal air. Diagnostic work-up of free intraabdominal air, previous pain of the left shoulder and newly developed abscess pneumonia revealed a perforation of the posterior wall of the gastral antrum. This resulted in a left subphrenic abscess with destruction of the diaphragm, development of pneumonia per continuitatem and subsequent direct lung injury. The gastric perforation

, infection, trauma, multiple sclerosis, brainstem lesions, lateral medullary ischaemia.[8, 9]Psychogenic - shock, fear, excitement, attention-seeking behaviour.[10]Irritation of the diaphragm - eg, subphrenic abscess, hiatus hernia.[5, 11]Vagus nerve irritation - eg, tumours, goitre, pharyngitis, meningitis, glaucoma.[4, 12]Phrenic nerve irritation.[10]After surgery - eg, gastric stasis, direct irritation

an incidence of localised and generalised peritonitis of 26.4% and 14.0% respectively.[4]Intra-abdominal sepsis and abscess symptomsAbscessThe symptoms are highly variable and depend on the location of the abscess. Symptoms may include fever, pain anywhere in the abdomen, diarrhoea or ileus. A subphrenic abscess can cause chest pain and also shoulder pain. Psoas muscle abscesses may lead to flank pain which

or open drainage (open drainage also enables appendicectomy) - but, again, there is controversy and a lack of a clear 'best option', with some surgeons preferring initial conservative management (fluids and antibiotics) with appendicectomy after delay.[29]Other acute complications include pelvic abscess, subphrenic abscess, paralytic ileus and septicaemia.Long-term complications: adhesions may cause

- associated with hypermobility, including subluxation or dislocation (see also the separate article Shoulder Dislocation).Extrinsic shoulder pain:Referred pain: neck pain, myocardial ischaemia, referred diaphragmatic pain (eg, gallbladder disease, subphrenic abscess).Polymyalgia rheumatica.Malignancy: apical lung cancers, metastases.The four most common causes of shoulder pain and disability in primary care

, where laparoscopic cholecystectomy has become the mainstay of therapy. Primary treatment of subphrenic abscesses and laparoscopic ultrasonography (US)-assisted drainage of pyogenic liver abscesses have also been performed successfully.Individual reports also describe successful drainage of peripancreatic fluid collections and complicated intra-abdominal abscesses that are not amenable to percutaneous

or colonic perforations, or subphrenic abscesses This patient has splenic abscess due to pneumococcal bacteremia. Note that massively enlarged spleen is readily visible, with minimal retraction in left upper quadrant. View Media Gallery Resected spleen (same as in above image) with abscesses caused by pneumococcal bacteremia. Note discrete abscesses adjacent to normal parenchyma. View Media Gallery patients) Pancreatic, other retroperitoneal, and subphrenic abscesses, as well as diverticulitis, may contiguously involve the spleen. Splenic trauma is another well-recognized etiologic factor. Splenic infarction resulting from systemic disorders (see the image below), such as hemoglobinopathies (especially sickle cell disease), leukemia, polycythemia, or vasculitis, can become infected and evolve

Meropenem-Vaborbactam as Salvage Therapy for Ceftazidime-Avibactam-Resistant Klebsiella pneumoniae Bacteremia and Abscess in a Liver Transplant Recipient. We report a case of a 24-year-old liver transplant recipient who developed hepatic artery thrombosis and graft failure, which was complicated by subphrenic abscess and persistent carbapenemase (KPC)-producing bacteremia. Ceftazidime

occurred in 2 cases of the NBCA group and 1 of the non-NBCA group. One showed left subphrenic abscess in the non-NBCA group. No postoperative bleeding occurred after 9-30 months of follow-up. The time of operation in NBCA group was significantly shorter than those in n-NBCA group (198.86±17.86 versus 217.81±20.25min, P<0.01). Blood loss in NBCA group was significantly lower than non-NBCA group (159.09

with respiratory symptoms and suspected esophageal perforation; nevertheless, after a diagnosis of fungal empyema, esophageal perforation should also be ruled out in addition to other causes like pneumonia, subphrenic abscess, and hematogenous spread. Improved communication between clinicians and microbiologists can lead to early diagnosis and a reduction in the morbidity and mortality of this condition.

include carotid arterial rupture or sheath abscess, thrombophlebitis of the internal jugular vein, mediastinitis, empyema, pericardial effusion, osteomyelitis of the mandible, subphrenic abscess, aspiration pneumonia, and pleural effusion. By reporting a case of Ludwig's angina, we hope to raise the awareness in our medical community for this rare clinical entity. This case describes a 54-year-old woman

%), incisional infection (3, 4.7%), subphrenic abscess (1, 1.6%), and postoperative acute renal failure and hemofiltration (3, 4.7%). Of the 62 patients discharged, 61 patients were followed up. Eleven patients died with 10 months to 10 years during the follow-up. The mean survival time is 116.2±12.4 months. The cumulative survival rate is 50.8%. Simultaneous surgeries in patients suffering from both cardiac

or colonic perforation, obstruction, colonic impaction, gastrointestinal bleeding, subphrenic abscess, fistula formation, sepsis and/or death due to the damaged caused by the sharp pointed ends [7, 8, 9]. Unfortunately, many patients who ingested such objects fail to remember the mis-swallowing event when symptoms of perforation develop, making diagnosis problematic. We present a case of jejunal

9. Pneumonia with Pleural irritation 4. Abdominal disorders 1. Diaphragmatic Hernia of Stomach 2. Gastroesophageal Reflux 3. Subphrenic abscess 4. Subphrenic peritonitis 5. Liver disease 1. Liver tumor or mass 2. Liver Abscess 6. Stomach Cancer 7. Splenic infarction 8. Acute Intestinal Obstruction or Small Bowel Obstruction

phrenic nerve (diaphragm) radiation sites 1. Cutaneous fourth cervical Nerve (top of Shoulder) 2. Innervates top of Shoulder 3. Supraspinous fossa 4. Over acromion or clavicle 2. Etiologies 1. Abdominal Trauma 1. Ruptured Spleen 2. Liver, Pancreas or Kidney injury 2. Gastric Ulcer or Duodenal Ulcer perforation 3. Subphrenic abscess 4. Diaphragmatic