colon perforation surgery

colon perforation surgery

Abscess -Subphrenic Surgery In India At Low Cost – Subphrenic Surgery

 

 Abscess -Subphrenic Surgery In India

 

Introduction

The space between the diaphragm, which separates the chest cavities from the abdominal cavity, and the transverse colon is called the “subphrenic space”. If there is an abscess developing in this space, this is called a subphrenic abscess. As there is a right and a left chest cavity, there can be from an anatomical point of view a right-sided and a left-sided subphrenic abscess. 

In about 50% of the cases there is a right-sided, in 25% a left-sided and in 25% a bilateral subphrenic abscess. Typically this develops 3 to 6 weeks following surgery in the abdomen such as biliary surgery, appendix surgery or surgery on the stomach or duodenum…

 

Symptoms of Subphrenic abscess

The list of signs and symptoms mentioned in various sources for Subphrenic abscess includes the 7 symptoms listed below : -

  • Fever
  • Chills
  • Upper abdominal pain
  • Breathing difficulty
  • Painful breathing
  • Referred shoulder pain
  • Cough….

 

Treatment

Like any other abscess in the body, the abscess needs to be drained and the infection needs to be treated with appropriate antibiotics. This can be a complex undertaking with a subphrenic abscess.

If there is an intraabdominal breakdown of an anastomosis, this has to be attended to by the surgeon as well as the abscess has to be drained. In another presentation it may be possible to drain the abscess through a percutaneous (meaning by perforating the skin) drainage catheter…

 

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