Abdominal abscess. Medical search. Frequent questions

Intra-abdominal abscess continues to be an important and serious problem in surgical practice. (medscape.com)
A better understanding of intra-abdominal abscess pathophysiology and a high clinical index of suspicion should allow earlier recognition, definitive treatment, and reduced morbidity and mortality. (medscape.com)
Parameshwarappa S, Rodrigues G, Prabhu R, Jayasundera M. Non-operative Management Of Intra-abdominal Abscess Following Laparoscopic Cholecystectomy. (webmedcentral.com)
We present a case of an intra-abdominal abscess following LC secondary to a dropped surgical clip. (webmedcentral.com)
What is an intra-abdominal abscess? (saintpetershcs.com)
An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. (saintpetershcs.com)
Who is at risk for an intra-abdominal abscess? (saintpetershcs.com)
Abdominal surgery or trauma can put you at risk for an intra-abdominal abscess. (saintpetershcs.com)
What are the symptoms of an intra-abdominal abscess? (saintpetershcs.com)
If you've recently had surgery or trauma to an abdominal organ and have other risk factors, such as diabetes or inflammatory bowel disease, watch for signs of an intra-abdominal abscess. (saintpetershcs.com)
How is an intra-abdominal abscess diagnosed? (saintpetershcs.com)
How is an intra-abdominal abscess treated? (saintpetershcs.com)
Antibiotics may help treat an infection that could lead to an intra-abdominal abscess. (saintpetershcs.com)
An intra-abdominal abscess may be caused by bacteria. (saintpetershcs.com)
Intra-abdominal abscess may also develop after primary peritonitis (spontaneous bacterial peritonitis). (hopkinsguides.com)
Indications for reoperation included anastomotic dehiscence (n=6), followed by intra-abdominal abscess (n=3), and infected hematoma (n=1). (sages.org)
There were two readmissions and two reoperations for persistent intra-abdominal abscess. (sages.org)

Intra-abdominal abscesses are localized collections of pus that are confined in the peritoneal cavity by an inflammatory barrier. (medscape.com)
The phagocytic activity of these cells degrades cellular and bacterial debris, creating a hypertonic milieu that expands and enlarges the abscess cavity in response to osmotic forces. (medscape.com)
Intra-abdominal abscesses - either single or multiple - are infected pockets of fluid (collections of pus) that occur within the abdominal cavity. (health.am)
The abscess may rupture into the abdominal cavity, the lining of the lungs, the lungs, or the sac around the heart. (medlineplus.gov)
Many times, a drainage catheter is left in the abscess cavity after it is drained. (saintpetershcs.com)
Abdominal abscesses may form below the diaphragm, in the middle of the abdomen, in the pelvis, or behind the abdominal cavity. (msdmanuals.com)
Abscesses behind the abdominal cavity (called retroperitoneal abscesses) lie behind the peritoneum, the membrane that lines the abdominal cavity and organs. (msdmanuals.com)
If free perforation occurs, bowel contents leak freely through the perforation into the abdominal cavity, which leads to an infection known as peritonitis . (medicalnewstoday.com)
Surgical complications can develop and include:[citation needed] Allergic shock due to anesthetics A paradoxical reaction to a drug Infection The development of TOA is thought to begin with the pathogens spreading from the cervix to the endometrium, through the salpinx, into the peritoneal cavity and forming the tubo-ovarian abscess with (in some cases) pelvic peritonitis. (wikipedia.org)
A CT scan of the abdomen can show the organs, blood vessels, and bones in your abdominal cavity. (healthline.com)
Volume of the hernia sac in relation to the total peritoneal volume, also called "loss of domain", in order to determine whether there is enough space to reduce all herniated contents into the abdominal cavity without risk of recurrence or ventilatory restriction. (radiologyassistant.nl)

Abdominal drainage to prevent intra-peritoneal abscess after appendectomy for complicated appendicitis. (bmj.com)
Despite diagnostic and therapeutic advancement in medicine, appendicitis remains a clinical emergency and is one of the more common causes of acute abdominal pain. (medscape.com)
In the U.S., appendicitis is the most common cause of acute abdominal pain requiring surgery, and the lifetime risk is 8.6% for males and 6.7% for females. (medpagetoday.com)
1,2 ) The most common surgical cause of abdominal pain is appendicitis, affecting 7% of people during their lifetime. (ahrq.gov)
2,3 ) Of all ED patients with abdominal pain, however, only 1%-3% will have acute appendicitis, many of which will present atypically. (ahrq.gov)
For example, only a minority of patients with appendicitis will present with the classic history of abdominal discomfort migrating from the epigastrium to the periumbilical region on to the right lower quadrant. (ahrq.gov)
6,7 ) The presence of pain in the right lower quadrant, abdominal rigidity, and migration of pain from the periumbilical region to the right lower quadrant increases the likelihood of appendicitis. (ahrq.gov)
When abdominal tenderness is present, a computed tomography (CT) scan can enhance the diagnostic accuracy of appendicitis. (ahrq.gov)

Intra-abdominal abscesses secondary to intra-operatively dropped calculi and clips are relatively uncommon complications following LC. (webmedcentral.com)
are more likely when infections are complications of prior intra-abdominal operations or procedures. (hopkinsguides.com)
A tubo-ovarian abscess (TOA) is one of the late complications of pelvic inflammatory disease (PID) and can be life-threatening if the abscess ruptures and results in sepsis. (wikipedia.org)
Keep reading to learn why your doctor may order an abdominal CT scan, how to prepare for your procedure, and any possible risks and complications. (healthline.com)

The patient is a 44-year-old male with a past medical history significant for intravenous (IV) drug use, candidal endocarditis status (post bioprosthetic aortic valve replacement, 9 years prior to presentation), now in remission who presented with generalized abdominal pain, which started 6 days prior, with associated nausea and vomiting. (journalmc.org)
This diagnosis should not be made unless the patient clearly exhibits symptoms of diarrhea, vomiting, nausea, crampy abdominal pain, and/or fever, which did not appear to be true for this patient. (ahrq.gov)
Acute gastroenteritis- It is due to infection in the gastrointestinal tract and may present with cramping abdominal pain, loose stools, fever, nausea and vomiting. (maxhealthcare.in)

Another way to drain the abscess is with surgery. (saintpetershcs.com)
Your doctor will drain the abscess by applying local anesthetic and giving a small incision. (differencebetween.net)
It may be possible to drain the abscess through the skin (percutaneous). (limamemorial.org)
Surgery to drain the abscess and remove dead tissue is often needed. (limamemorial.org)

The Surgical Infection Society revised guidelines on the management of intra-abdominal infection. (bmj.com)
Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. (bmj.com)
Abdominal abscesses can be caused by a bacterial infection. (saintpetershcs.com)
Blood may be drawn to look for signs of infection or an abscess. (saintpetershcs.com)
An abscess is a pocket of pus, usually caused by a bacterial infection. (msdmanuals.com)
These abscesses are found most commonly in reproductive age women and typically result from upper genital tract infection. (wikipedia.org)
In cases where there is an abscess or advanced infection, the open approach (laparotomy) may be needed. (medpagetoday.com)
An abscess is a collection of pus a result of chronic inflammation or infection. (differencebetween.net)
Hematoma is accumulation of blood around the injured blood vessels while an abscess is accumulation of pus and bacteria at the site of infection. (differencebetween.net)
Urinary tract infection-Abdominal pain with burning sensation while passing urine. (maxhealthcare.in)

Amebic liver abscess is a collection of pus in the liver in response to an intestinal parasite called Entamoeba histolytica . (medlineplus.gov)

In rare cases, the abscess may need to be drained using a catheter or surgery to relieve some of the abdominal pain and to increase chances of treatment success. (medlineplus.gov)
Most people have constant abdominal pain and a fever. (msdmanuals.com)
Abdominal pain, often severe, usually accompanies. (msdmanuals.com)
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. (msdmanuals.com)
Symptoms may include abdominal pain, diarrhea caused by intestinal irritation, and an urgent or frequent need to urinate caused by bladder irritation. (msdmanuals.com)
103 Symptoms typically include fever, an elevated white blood cell count, lower abdominal-pelvic pain, and/or vaginal discharge. (wikipedia.org)
Physicians are able to make the diagnosis if the abscess ruptures when the woman begins to have lower abdominal pain that then begins to spread. (wikipedia.org)
Actress Portia de Rossi was hospitalized in March with severe abdominal pain. (medpagetoday.com)
Initial vitals were stable and pertinent physical exam findings included open abdominal wall ulcers with multiple scratch marks and lower abdominal pain on palpation. (journalmc.org)
A 37-year-old woman with no past medical history went to the emergency department (ED) complaining of vomiting and periumbilical abdominal pain for 6 hours. (ahrq.gov)
Abdominal pain is a common chief complaint in emergency departments, accounting for more than 6% of the approximately 100 million ED visits in the United States each year. (ahrq.gov)
In very mild cases (ie, patients without fever, abdominal pain, or leukocytosis), in patients who do not have other comorbidities, cessation of causative antibiotics may be the only treatment necessary. (medscape.com)
We report a case of a patient with longstanding Crohn's disease with septic iliopsoas bursitis, presenting as worsening right-sided hip pain secondary to psoas abscess and fistula formation to the iliopsoas bursa as a rare complication of Crohn's disease. (ispub.com)
Patients typically present with chronic diarrhea, abdominal pain, and weight loss, but may present with more acute abdominal symptoms. (ispub.com)
We report a patient with a long standing history of Crohn's disease, who presented to the Emergency Department with an 8 month history progressive right hip pain, and difficulty ambulating, secondary to a right psoas abscess with fistulization to the right iliopsoas bursa, as a complication of Crohn's disease. (ispub.com)
What is Acute Abdominal Pain & Why Not Ignore It? (maxhealthcare.in)
Almost everyone will experience abdominal pain at some time or the other in their lives. (maxhealthcare.in)
Acute attack of pain in the region bounded above by ribs and diaphragm, below by pubic bones and on the sides by flanks is known as acute abdominal pain. (maxhealthcare.in)
Acute intestinal obstruction - Abdominal pain, vomiting, abdominal distension, inability to pass flatus and stools. (maxhealthcare.in)
I made my way to the bathroom floor with intense abdominal pain that took my breath away. (cdc.gov)

Subsequent secondary peritonitis then becomes walled off by inflammatory adhesions, loops of intestine, mesentery or omentum, and other abdominal viscera. (hopkinsguides.com)
Other sequelae associated with PID include dyspareunia, pyosalpinx, tubo- ovarian abscess, and pelvic adhesions (6). (cdc.gov)

Always seek medical help immediately if abscess is accompanied by fever. (differencebetween.net)
Hematoma presents as discolored, tender bruise on the surface of skin with no fever and rarely swelling while abscess is a raised, soft mass with center of liquefied pus, debris and bacteria which can be accompanied by fever. (differencebetween.net)

The signs and symptoms of tubo-ovarian abscess (TOA) are the same as with pelvic inflammatory disease (PID) with the exception that the abscess can be found with magnetic resonance imaging (MRI), sonography and x-ray. (wikipedia.org)

Derangement of liver enzymes, elevated alkaline phosphatase or hypergammaglobulinemia depending on duration and location of the abscess (e.g., liver, gallbladder, etc. (hopkinsguides.com)

Surgery was then performed because the abscess was refractory. (dtrf.org)
Surgery may also involve fixing the condition that caused the abscess in the first place, such as a bowel perforation. (saintpetershcs.com)
due to cancer, ulcer, or injury, and sometimes abscesses form after injury to the abdomen or after surgery on the abdomen. (msdmanuals.com)
Treatment for TOA differs from PID in that some clinicians recommend patients with tubo-ovarian abscesses have at least 24 hours of inpatient parenteral treatment with antibiotics, and that they may require surgery. (wikipedia.org)
If surgery becomes necessary, pre-operative administration of broad-spectrum antibiotics is started and removal of the abscess, the affected ovary and fallopian tube is done. (wikipedia.org)
Due to increased complex abdominal wall surgery, pre-operative CT planning with abdominal wall mapping has gained increasing attention. (radiologyassistant.nl)
As the linea alba is an avascular area, it is frequently used as point of entrance for open abdominal surgery. (radiologyassistant.nl)
Because abdominal wall hernias are defects of the fascia of the abdominal wall, these fascia layers need to be brought together during surgery. (radiologyassistant.nl)
Pelvic abscess is a common complication of abdominal surgery or intestinal or gynecological diseases . (bvsalud.org)

Inflammatory bowel disease, particularly Crohn's disease, increase the risk of intra-abdominal and anorectal abscess and increased rates of recurrence. (hopkinsguides.com)

A recent history of abdominal or pelvic abscess, which is controlled, does not exclude the subject. (childrenshospital.org)
To evaluate safety and efficacy of EUS-guided transrectal pelvic abscess drainage in a single center. (bvsalud.org)

Aerobic and anaerobic microbiology of retroperitoneal abscesses. (bmj.com)

In computed tomography, the mesenteric side of the ascending colon demonstrated air and fluid collections, suggesting diverticulitis with abscess. (dtrf.org)
Non-visceral abscesses develop after gastrointestinal perforation from local disease ( diverticulitis , etc.), trauma or surgical intervention. (hopkinsguides.com)
Abscess is known to occur in up to 40% of cases of acute complicated diverticulitis . (hopkinsguides.com)

In patients who were treated empirically or who had candidemia or other Candida infections (intra-abdominal abscesses, peritonitis, or pleural space infections), a similar modest effect of age was seen in older patients relative to younger patients. (theodora.com)
It protects the abdominal viscera and aids in the localization and resolution of peritonitis. (vin.com)

An excellent response to image guided percutaneous drainage of abscess without the need for formal surgical retrieval of the clip was achieved. (webmedcentral.com)

A contrast CT abdomen and pelvis showed a post cholecystectomy status with a well defined peripherally enhancing loculated hypodense collection (abscess) with few internal septations in the gall bladder fossa. (webmedcentral.com)
The abdomen is usually painful in the area of the abscess. (msdmanuals.com)
An abscess in the lower abdomen may track down into the thigh or the area around the rectum (called the perirectal fossa). (msdmanuals.com)
Pelvic abscesses can result from the same disorders that cause abscesses in the mid-abdomen or from gynecologic infections. (msdmanuals.com)
Contrast enhanced CT of the abdomen and pelvis was obtained which revealed a large right iliopsoas abscess (figure 2) with fistulous communication to the distal small bowel as well as fistulization between the iliopsoas abscess and the iliopsoas bursa. (ispub.com)

Antibiotics such as metronidazole (Flagyl) or tinidazole (Tindamax) are the usual treatment for liver abscess. (medlineplus.gov)
Entamoeba species, including amebic colitis and liver abscess. (medlineplus.gov)
Amoebic liver abscess-Occur after amoebic dysentery. (maxhealthcare.in)

A pancreatic abscess is an area filled with pus within the pancreas. (limamemorial.org)
Draining a pancreatic pseudocyst may help prevent some cases of pancreatic abscess. (limamemorial.org)

Primary abscess of the omentum: report of a case. (bmj.com)
Extra abdominal uses of the omentum were first reported in the 1930s. (vin.com)
A cranial ventral abdominal midline incision can be used to gain access to the omentum and its attachments in order to create a pedicle. (vin.com)

Factors affecting the successful management of intra-abdominal abscesses with antibiotics and the need for percutaneous drainage. (bmj.com)
In the presence of an abscess from a ruptured appendix, a percutaneous drainage procedure may be performed, thus allowing a decrease in inflammation and a lower surgical risk for a later appendectomy. (medpagetoday.com)

The patient was admitted for antibiotic therapy and CT guided drainage catheter placement within the iliopsoas abscess. (ispub.com)

For example, abscesses in the lesser sac may develop secondary to severe pancreatitis, or periappendiceal abscesses from a perforated appendix may develop in the right lower quadrant. (medscape.com)
Antibiotics fail to prevent abscess formation secondary to bacteria trapped in fibrin clots. (bmj.com)
An abscess secondary to a dropped surgical clip is an uncommon event. (webmedcentral.com)

Without treatment, the abscess may break open (rupture) and spread into other organs, leading to death. (medlineplus.gov)

Hence, right colectomy combined with abscess resection was performed. (dtrf.org)
Medical management failed and on hospital day #18 the patient was taken to the operating room for drainage of the iliopsoas abscess, ileocolic resection and end ileostomy formation. (ispub.com)

8. Berger D, Buttenschoen K. Management of abdominal sepsis. (bmj.com)

Aspiration of the abscess revealed a purulent polymycrobial fluid with isolates of two morphotypes of Klebsiella pneumoniae, Enterococcus faecium, and Candida albicans. (ispub.com)

Appropriate treatment is often delayed because of the obscure nature of many conditions resulting in abscess formation, which can make diagnosis and localization difficult. (medscape.com)
Diagnosis and treatment of intra-abdominal abscesses. (bmj.com)
Although rare, DF should be included in the preoperative differential diagnosis of intra-abdominal abscesses. (dtrf.org)
The unusual sites of abscess formation coupled with the lack of awareness of a previous LC can lead to an inaccurate or delayed diagnosis. (webmedcentral.com)
Abdominal hernias are usually a clinical diagnosis and have been considered a simple problem to be repaired. (radiologyassistant.nl)

For patient education resources, see the Infections Center , as well as Abscess and Antibiotics . (medscape.com)
Intra-abdominal infections. (bmj.com)
In the presence of certain risk factors Lactobacilli have been responsible for serious infections such as bacteremia, infective endocarditis, and intra-abdominal abscesses [ 3 - 5 ]. (journalmc.org)

The type of antibiotic will depend on how severe your abscess is, your age, and any other health problems you may have. (saintpetershcs.com)

18. Brand M, Grieve A. Prophylactic antibiotics for penetrating abdominal trauma. (bmj.com)
But once the abscess has developed, antibiotics don't work as well. (saintpetershcs.com)
But often antibiotics are given along with draining the abscess. (saintpetershcs.com)
Treatment involves draining pus from the abscess and taking antibiotics. (msdmanuals.com)

CT scan of the pelvis showing a large intra-abdominal mass. (adam.com)
The best imaging test to check for an abscess is usually a CT scan of the belly. (saintpetershcs.com)
A typical abdominal CT scan takes from 10 to 30 minutes. (healthline.com)
I was too sick to ingest the barium required for a CAT scan, so the attending physician ordered an abdominal x-ray. (cdc.gov)

The abscess extended superiorly into the subdiaphragmatic region, indenting the diaphragmatic surface of liver, inferiorly under the right anterior abdominal wall into the paracolic gutter and up to the dome of the urinary bladder, extending into the pelvis. (webmedcentral.com)

Laparoscopy and other imaging tools can visualize the abscess. (wikipedia.org)

In 57 (2.4 percent) of 2,416 patients undergoing laparotomy for penetrating abdominal trauma from 1977 to 1980, an intraabdominal abscess developed in the postoperative period. (nih.gov)

Over 80 percent of penetrating wounds leading to abscesses occurred in the upper quadrants, and common risk factors included multiple intraabdominal solid organ injuries requiring open drainage, coupled with gastrointestinal tract perforation. (nih.gov)
The incidence of bile leak and loss of gallstones into the peritoneum due to gall bladder perforation during LC has been reported to be between 3% and 33% and can lead to the formation of intra-abdominal abscesses. (webmedcentral.com)

Repeat ultrasound revealed no residual abscess and patient made a good recovery. (webmedcentral.com)
Abscess drainage can be done through an endoscope using endoscopic ultrasound (EUS) in some cases. (limamemorial.org)
Over the last decades, endoscopic ultrasound (EUS)-guided drainage has emerged as a minimally invasive alternative to percutaneous or surgical treatment of pelvic abscesses . (bvsalud.org)

Neisseria gonorrhoeae and chlamydial species are the most common organisms involved in pelvic abscesses in females as part of pelvic inflammatory disease. (medscape.com)
Crohn's disease is a recurrent transmural inflammatory condition of the bowel, leading to bowel wall thickening, fixation of bowel loops, frequently complicated by stricture, fistula and abscess formation. (ispub.com)

The center of the abscess contains liquefied mass of pus and bacterial debris, with tension in surrounding tissues due to inflammatory response. (differencebetween.net)

Methods: The medical literature from 1973 to 2007 was reviewed using PubMed for papers relating to anastomotic leaks and abdominal abscess, with a specific emphasis on predisposing factors, prevention strategies, and treatment approaches. (elsevierpure.com)

If an abscess unrelated to a surgical procedure or other obvious source is encountered, must consider the possibility of an underlying necrotic cancer. (hopkinsguides.com)
Hematoma is caused due to trauma or injury, use of medicines like blood thinners, and reduced platelets count while abscess is caused due to compromised immune system due to diabetes, steroid therapy, cancer treatment, and other autoimmune diseases. (differencebetween.net)

Untreated abscesses can grow and damage nearby blood vessels and organs. (msdmanuals.com)
An abscess below the diaphragm may form when infected fluid, for example, from a ruptured appendix, is moved upward by the pressure of abdominal organs and by the suction created when the diaphragm moves during breathing. (msdmanuals.com)
Important muscular structures that surround the abdominal organs are shown in this figure. (radiologyassistant.nl)

Hematoma is the result of blood cells that pool around the injured blood vessels as a result of trauma while abscess is a result of body's immune response that leads to accumulation of pus, bacteria and debris. (differencebetween.net)

Although the overall complication rate after LC is less than the traditional open approach, intra-abdominal abscesses following LC are rarely encountered. (webmedcentral.com)
The complication rate of percutaneous abscess drainage is low (~2.5%) but should be considered when managing patients. (hopkinsguides.com)

During laparotomy, the scar tissue of the abscess was found to be attached to the lateral wall of the ascending colon. (dtrf.org)

This treatment can usually wait until after the abscess has been treated. (medlineplus.gov)
The right early treatment can greatly improve the outcome for people who have intra-abdominal abscesses. (saintpetershcs.com)
This case series contributes to the cumulative evidence that, in expert hands , EUS-guided drainage should be considered as first-line approach for treatment of pelvic abscesses . (bvsalud.org)

The abscesses usually contain a mixture of aerobic and anaerobic bacteria from the gastrointestinal (GI) tract. (medscape.com)
The type and density of aerobic and anaerobic bacteria isolated from intra-abdominal abscesses depend upon the nature of the microflora associated with the diseased or injured organ. (medscape.com)

The Spigelian hernia is an uncommon hernia at a weak spot between the oblique abdominal muscles and the rectus abdominis. (radiologyassistant.nl)

Anatomy1

Diseases11

Intra-abdominal abscess17

Cavity11

Appendicitis8

Complications4

Nausea3

Drain the abscess4

Infection10

Collection of pus1

Pain20

Adhesions2

Fever2

Symptoms1

Location of the abscess1

Surgery9

Anorectal abscess1

Pelvic Abscess2

Retroperitoneal abscesses1

Diverticulitis3

Peritonitis2

Drainage of abscess1

Abdomen5

Liver abscess3

Pancreatic abscess2

Omentum3

Percutaneous drainage2

Catheter1

Secondary3

Rupture1

Resection2

Sepsis1

Aspiration1

Diagnosis5

Infections3

Severe1

Antibiotics4

Scan4

Pelvis1

Laparoscopy1

Postoperative1

Perforation2

Ultrasound3

Disease2

Inflammatory1

Anastomotic1

Cancer2

Organs3

Blood vessels1

Complication2

Laparotomy1

Treatment3

Bacteria2

Hernia1