Subphrenic abscess
| Subphrenic abscess | |
|---|---|
| Synonyms | Subdiaphragmatic abscess |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Fever, abdominal pain, shoulder pain, cough, dyspnea |
| Complications | Sepsis, pleural effusion, peritonitis |
| Onset | Usually after abdominal surgery or trauma |
| Duration | Variable, depending on treatment |
| Types | N/A |
| Causes | Bacterial infection, often following surgery or perforation of abdominal organs |
| Risks | Abdominal surgery, trauma, appendicitis, diverticulitis |
| Diagnosis | Ultrasound, CT scan, MRI, blood tests |
| Differential diagnosis | Liver abscess, pleural effusion, pneumonia, pancreatitis |
| Prevention | N/A |
| Treatment | Antibiotics, surgical drainage |
| Medication | Broad-spectrum antibiotics |
| Prognosis | Good with treatment, but can be serious if untreated |
| Frequency | Rare, but more common in patients with recent abdominal surgery |
| Deaths | N/A |
Subphrenic abscess is a medical condition characterized by the accumulation of pus in the subphrenic space, an area located beneath the diaphragm. This condition is often a complication of abdominal surgery or trauma and can lead to serious complications if not treated promptly.
Causes
The most common cause of a subphrenic abscess is a complication following abdominal surgery. Other causes can include trauma to the abdomen, infections that spread from other parts of the body, and certain medical conditions such as appendicitis or diverticulitis.
Symptoms
Symptoms of a subphrenic abscess can vary, but often include fever, pain in the upper abdomen or chest, nausea, vomiting, and a decreased appetite. In some cases, patients may also experience shortness of breath or a cough.
Diagnosis
Diagnosis of a subphrenic abscess typically involves a combination of medical history, physical examination, and imaging tests. These may include an ultrasound, CT scan, or MRI.
Treatment
Treatment for a subphrenic abscess usually involves antibiotics to fight the infection and drainage of the abscess. This can be done through a procedure known as percutaneous drainage, in which a needle is inserted through the skin and into the abscess to remove the pus. In severe cases, surgery may be required.
Prognosis
With prompt treatment, the prognosis for a subphrenic abscess is generally good. However, if left untreated, the condition can lead to serious complications such as sepsis, pneumonia, or peritonitis.
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Contributors: Prab R. Tumpati, MD