ABSTRACT
INTRODUCTION: This study aimed to investigate the factors influencing the diagnostic yield of microbiologic diagnosis obtained through percutaneous abdominal abscess drainage procedures. We analyzed the influence of diverse clinical, radiological, and pre-procedural factors on the success of microbiologic diagnosis in this context. METHODOLOGY: A retrospective analysis of patients who underwent percutaneous abdominal abscess drainage was performed to assess the factors affecting the diagnostic yield for microbiologic diagnosis. RESULTS: A total of 174 patients undergoing percutaneous abdominal abscess drainage was included. The use of antibiotics during the procedure and the spread of the abscess to other organs significantly increased the likelihood of obtaining a positive culture. Specifically, antibiotic use during the procedure raised the risk by up to 3.30-fold (OR = 3.30, 95% CI 1.48-7.65, p = 0.004), while abscess spread to another organ increased the risk by approximately 1.87-fold (OR = 1.87, 95% CI 0.98-3.61, p = 0.057). Additionally, abscesses containing air and abscesses with an air-fluid level were more common in patients with positive culture results. Other factors, such as gender, age, malignancy prevalence, and surgical history, did not significantly impact culture results. CONCLUSIONS: This study provides valuable insights into the factors affecting the diagnostic yield of microbiologic diagnosis from percutaneous abdominal abscess drainage. The findings underscore the importance of considering patient-specific variables and procedural aspects when planning and executing abscess drainage procedures. Further research can build upon these insights to develop evidence-based guidelines for optimizing the diagnostic yield of percutaneous abdominal abscess drainage procedures.
Subject(s)
Abdominal Abscess , Drainage , Humans , Retrospective Studies , Male , Drainage/methods , Female , Abdominal Abscess/diagnosis , Abdominal Abscess/microbiology , Middle Aged , Aged , Adult , Aged, 80 and over , Anti-Bacterial Agents/therapeutic useABSTRACT
RATIONALE: Uterine abscess is a rare gynecologic entity and only a few cases have been reported so far. This study aimed to describe our clinical experience in this case. Initially, hematoma was diagnosed without detail previous medical record. Finally, laparotomy was performed due to refractory fever and highly possible diagnosis of uterine abscess. We successfully performed a hysterectomy and the patient had an uneventful recovery. PATIENT CONCERNS: A 44-year-old nulliparous woman underwent myomectomy in the local hospital, 45 days ago. She complained of irregular fever (up to 40 °C) without abdominal pain since the surgery. DIAGNOSES: Due to lack of her detail medical record, equivocal images and her strong intention to preserve uterus, she was misdiagnosed with hematoma and treated with antibiotic treatment. Finally, intraoperative findings revealed that the huge myometrial abscess contained a mass of pus. INTERVENTIONS: Laparotomy was performed due to refractory high-grade fever and highly possible diagnosis of uterine abscess. Total hysterectomy was performed to avoid the possibility of life-threatening sepsis. OUTCOMES: The postoperative course was uneventful and the patient was discharged 10 days after surgery. LESSONS: Complete imaging examinations are recommended prior myomectomy to facilitate the differential diagnosis of postoperative complications. In addition, several measures, such as maintaining aseptic conditions during surgery and postoperative drainage, play a critical role in preventing nosocomial infections. Rare uterine abscess is often mistaken for hematoma with fever. If the patient develops high fever after myomectomy, accompanied by a mass in the myometrium, the possibility of infection or even abscess formation should not be excluded. For women who need to preserve their fertility, the early diagnosis and timely administration of appropriate medication is crucial for preventing uterine loss.
Subject(s)
Abdominal Abscess , Pyometra , Uterine Myomectomy , Adult , Female , Humans , Abdominal Abscess/diagnosis , Hematoma , Pyometra/diagnosis , Uterine Myomectomy/adverse effectsABSTRACT
BACKGROUND: Laparoscopic cholecystectomy is the most common minimally invasive abdominal surgery procedure performed in Western countries; it offers several advantages over laparotomy but still carries some risks, such as intraoperative spillage of bile and gallstones. Diagnosis of dropped gallstones could be challenging, it is frequently delayed, and this can lead to further complications such as abscesses formation. METHODS: We report the history of a 51-year-old male with persistent dull abdominal pain in association to appetite loss, vomiting episodes and changes in regular bowel habits, a past medical history of laparoscopic cholecystectomy for biliary lithiasis (1.5 years earlier) and minimum elevation of inflammatory markers and gamma-GT values. RESULTS: Ultrasound examination showed perihepatic stones and magnetic resonance imaging revealed the presence of multiple perihepatic abscesses, findings compatible with fibrotic-inflammatory phenomena from 'dropped gallstones'. A re-laparoscopy was then performed with an abscess collection containing multiple gallstones; a liver wedge resection was also required due to strong adhesions. At follow up, the patient had improved both on clinical and biochemical perspective. CONCLUSION: Dropped gallstones are an underreported cause of morbidity and diagnostic dilemmas in subjects who underwent to laparoscopic cholecystectomy, in relation to infectious complications that can occur even several months or years after surgery. Imaging represents a valuable aid in the correct non-invasive diagnostic process, but proper awareness of this insidious condition is necessary. Surgeons and radiologists should always consider this eventuality in the differential diagnosis of a patient presenting with abdominal abscesses and history of cholecystectomy.
Subject(s)
Abdominal Abscess , Cholecystectomy, Laparoscopic , Gallstones , Male , Humans , Middle Aged , Abscess/surgery , Gallstones/surgery , Cholecystectomy, Laparoscopic/adverse effects , Abdominal Abscess/diagnosis , Cholecystectomy/adverse effectsABSTRACT
A splenic abscess is a rare disease found in less than 1% of all autopsy studies. Several different diseases are associated as a predisposing factor, such as septic bacteremia due to endocarditis or diverticulitis, previous splenic trauma, immunosuppressive medication or diseases. The reported mortality in the literature is up to 24.5% in correctly diagnosed and treated cases. The diagnostic work-up primarily comprises sonography and computed tomography as well as a percutaneous puncture for determination of the pathogen. In most cases, a percutaneous interventional drainage treatment is sufficient and a splenectomy is necessary only in refractory cases.
Subject(s)
Abdominal Abscess , Cardiovascular Abnormalities , Intraabdominal Infections , Splenic Diseases , Humans , Splenic Diseases/diagnosis , Splenic Diseases/therapy , Abscess/diagnosis , Abscess/therapy , Abdominal Abscess/diagnosis , Abdominal Abscess/therapy , Tomography, X-Ray Computed , Drainage/methodsABSTRACT
Retroperitoneal abscess after abdominal and retroperitoneal surgery is a relatively rare but serious complication that most often occurs as a result of a healing disorder in the postoperative period. The incidence is not high, in the literature the cases are mostly reported as case reports with a serious clinical course, high morbidity and mortality. The most important factor of effective treatment, after successful diagnosis by CT examination is rapid evacuation of the abscess and retroperitoneal drainage, in which mini-invasive surgical or radiological drainage dominate as methods of choice. Surgical drainage, burdened by higher morbidity and mortality is considered the last resort after failure of mini-invasive methods. In our case report, we present a case of retroperitoneal abscess, arising as a complication after gastric resection, which was evacuated and drained primarily surgically due to unsuitability for radiological intervention.
Subject(s)
Abdominal Abscess , Peritoneal Diseases , Humans , Aged , Abscess , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Abscess/surgery , Drainage/adverse effects , Retroperitoneal Space/surgery , StomachABSTRACT
OBJECTIVES: To compare success rates and complications in women undergoing laparoscopic versus open surgical management of tubo-ovarian abscess. We further examined whether early laparoscopic intervention has any impact on pregnancy rates in a subgroup of infertile patients following frozen-thawed embryo transfer. MATERIAL AND METHODS: Hospital records of 48 patients diagnosed with TOA between January 2015 and December 2020, who underwent surgical intervention or received only medical treatment were analyzed. All patients were hospitalized, and parenteral antibiotics were commenced on admission initially. Laparoscopic or open surgery was performed within 48 hours course of intravenous antibiotherapy (early intervention) or later according to the clinical findings and antibiotherapy response. RESULTS: Of 48 patients with TOA, 18 (37.5%) underwent laparoscopic and 30 (62.5%) underwent open surgical intervention. The median postoperative hospital stay was shorter (4.5 days vs 7.5 days, respectively; p = 0.035), and postoperative opioid analgesic requirement was lesser in the laparoscopy group compared to open surgery group (22% vs 53%, respectively; p = 0.034). Intra- and post-operative complication rates were similar between the groups. Of these 48 patients, seven were diagnosed to have TOA following oocyte retrieval, and four of these conceived with frozen thawed embryo transfer all of whom underwent laparoscopic surgery within 48 hours of diagnosis. CONCLUSIONS: Minimal invasive surgery should be preferred even in the presence of severely adhesive and inflammatory TOA in order to improve postoperative outcomes. Moreover, early laparoscopic intervention may be considered in infertile patients with an aim to optimize pregnancy rates in a subsequent frozen-thawed embryo transfer.
Subject(s)
Abdominal Abscess , Fallopian Tube Diseases , Laparoscopy , Ovarian Diseases , Pregnancy , Humans , Female , Abscess/complications , Abscess/surgery , Birth Rate , Ovarian Diseases/surgery , Retrospective Studies , Fallopian Tube Diseases/surgery , Fallopian Tube Diseases/diagnosis , Abdominal Abscess/diagnosis , Laparoscopy/adverse effectsABSTRACT
Introducción: Los tumores apendiculares representan aproximadamente 1% de los tumores malignos del intestino grueso. Más del 50% de las neoplasias primarias del apéndice se manifiestan inicialmente como apendicitis aguda. Métodos: Se reporta caso de paciente masculino que presentó adenocarcinoma invasor en biopsia de pieza quirúrgica de apéndice cecal tras apendicectomía, tomando la decisión de realizar hemicolectomía derecha laparoscópica diferida. Discusión: En este caso y como en la mayoría de los reportes de la bibliografía mundial, el adenocarcinoma simula un cuadro de AA. En un metaanálisis y una revisión sistemática de 2.771 pacientes diagnosticados de masa apendicular inflamatoria (flemón o absceso), Andersson et al. encontró 31 con tumores malignos. Estas lesiones se detectan en el 0,9% al 1,4% de las apendicectomías realizadas para tratar la AA. Conclusión: Este subtipo histológico presenta mayor incidencia de metástasis en los ganglios linfáticos y la supervivencia global era del 47,5%. Es por ello por lo que abogamos por la resección colónica como tratamiento definitivo del adenocarcinoma de apéndice cecal.
INTRODUCTION: Appendulular tumors represent approximately 1% of malignant tumors of the large intestine. More than 50% of the primary neoplasms of the appendix initially manifest as acute appendicitis. Methods: Men's patient who presented invading adenocarcinoma in Cecal Appendix Surgical Party Biopsy after appendectomy, making the decision to perform deferred laparoscopic right hemicolectomy, is reported. Discussion: In this case and as in most world literature reports, adenocarcinoma simulates an AA picture. In a meta -analysis and a systematic review of 2,771 diagnosed patients of inflammatory appendicular mass (phlegmon or abscess), Andersson et al. He found 31 with malignant tumors. These lesions are detected at 0.9% to 1.4% of appendectomies made to treat the AA. Conclusion: This histological subtype has a greater incidence of metastasis in lymph nodes and global survival was 47.5%. That is why we advocate colonic resection as a definitive treatment of cecal appendix adenocarcinoma.
Subject(s)
Humans , Male , Aged , Appendectomy , Appendicitis/surgery , Abdominal Abscess/diagnosis , Intestine, LargeABSTRACT
Background: Pyometra is a rare gynecological condition and is characterized by pus accumulation in the uterine cavity. It occurs more frequently in postmenopausal women than tubo-ovarian abscesses, which constitute a more common gynecological complication among premenopausal women. Objective: A 72-year-old woman was admitted to our emergency department with lower abdominal pain, diarrhea and fever for the last three days. The laboratory results were indicative to sepsis. The clinical examination revealed sensitivity by palpation of the lower abdomen without any signs of acute abdomen. The gynecological assessment showed pus outflow through the cervix and a pus culture was done. The ultrasound examination found an enlarged uterus, full of hypoechoic fluid, unclear borders between endometrium-myometrium, a mixed echogenicity adnexal mass and no free fluid in the pouch of Douglas. A computed tomography (CT) of the abdomen showed the presence of pyometra and a tubo-ovarian abscess of the right adnexa. Method: The patient was treated with intravenous antibiotic therapy. When the patient was hemodynamically stable and afebrile, she underwent ultrasound-guided dilatation and curettage of the cervical canal and the endometrium in order to exclude an underlying malignancy, under general anesthesia. Results: The patient responded promptly to the intravenous antibiotic therapy which was adapted to the pus culture result. The laboratory results withdrew to normal values and the patient was discharged after fifteen days of hospitalization in an afebrile and hemodynamically stable condition. Conclusion: Pyometra and tubo-ovarian abscess in postmenopausal women could be a lethal complication of pelvic inflammatory disease. The key in treatment is the dilatation of the cervix and drainage of the pyometra. The administration of intravenous antibiotics and drainage through the cervix could be a suitable method of treatment for pyometra in older patients or those with poor performance status if only the histological examination is negative for malignancy.
Subject(s)
Abdominal Abscess , Oophoritis , Pyometra , Salpingitis , Abdominal Abscess/diagnosis , Abdominal Abscess/drug therapy , Abscess/drug therapy , Abscess/therapy , Aged , Anti-Bacterial Agents/therapeutic use , Female , Humans , Oophoritis/drug therapy , Postmenopause , Pyometra/complications , Pyometra/drug therapy , Salpingitis/drug therapyABSTRACT
This systematic review intends to evaluate incidence and symptoms of post-bariatric splenic complications as well as best available modalities establishing the diagnosis and management protocols. A systematic literature search was performed in electronic database until March 2022. A total of 41 articles were included on the subject of splenic complications following bariatric/metabolic surgery (BMS). Splenic abscess was the most common splenic complications (44.2%) after BMS and leak was the most common reported etiology of the splenic abscess. Fever and abdominal pain were the most common presenting symptom in all splenic complications and CT scan was the most common diagnostic modality. Splenic complications after BMS are relatively rare but may lead to dangerous consequences. Prompt diagnosis and treatment can prevent potentially life-threatening outcomes.
Subject(s)
Abdominal Abscess , Bariatric Surgery , Obesity, Morbid , Splenic Diseases , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Abscess/therapy , Abscess/complications , Bariatric Surgery/adverse effects , Humans , Obesity, Morbid/surgery , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/therapy , Splenic Diseases/diagnosis , Splenic Diseases/etiology , Splenic Diseases/surgeryABSTRACT
OBJECTIVE: To analyze treatment outcomes in patients with acute appendicitis complicated by widespread peritonitis. MATERIAL AND METHODS: The study included 165 patients acute appendicitis complicated by widespread peritonitis. Inclusion criteria: acute appendicitis complicated by widespread peritonitis MIP grade 1-2 in reactive or toxic phase (grading system by Simonyan K.S.), abdominal cavity index ≤16. Exclusion criteria: MIP grade 3, terminal phase, abdominal cavity index ≥17. RESULTS: Analysis of postoperative data revealed no correlation between surgical approach and incidence of postoperative intra-abdominal abscesses and infiltrates. In the main group, intra-abdominal abscesses occurred in 4.9% of patients (n=5), infiltrates - 12.8% (n=13). In the control group, these parameters were 4.6% (n=2) and 18.2% (n=8), respectively. We have developed and introduced into clinical practice a differentiated approach to surgical treatment of widespread appendicular peritonitis based on laparoscopic data. Abdominal cavity was intraoperatively assessed. The proposed method included 5 criteria with establishment of appropriate points (min 3, max 14). In case of total score 3-8, laparoscopic approach was preferred. Overall score 9-11 required laparoscopic surgery with subsequent elective repeated laparoscopy, ≥12 scores - intraoperative conversion and open surgery. Thus, subject to the rules of surgical intervention, the number of intra-abdominal complications between laparoscopic and open methods is equalized. CONCLUSION: The developed differentiated surgical strategy for patients with appendicular peritonitis is effective and reduces the incidence of wound infection, extra-abdominal complications, and hospital-stay, as well as contributes to early rehabilitation of patients.
Subject(s)
Abdominal Abscess , Appendicitis , Appendix , Laparoscopy , Peritonitis , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Abscess/surgery , Appendicitis/complications , Appendicitis/diagnosis , Appendicitis/surgery , Humans , Laparoscopy/adverse effects , Peritonitis/diagnosis , Peritonitis/etiology , Peritonitis/surgeryABSTRACT
Infective endocarditis (IE) demonstrates a broad array of clinical presentations and complications. However, IE with prominent abdominal findings is uncommon. We encountered a case of IE caused by Staphylococcus aureus that presented a large mesenteric abscess and was initially diagnosed as an intra-abdominal infection. There are few reports of IE with mesenteric abscess formation. Even if an intra-abdominal abscess is the main symptom, the possibility that it is part of a systemic infection should be considered if the causative organism is atypical or if symptoms are present in multiple organs. Physicians should always be aware of the possibility that IE may mimic other diseases, including intra-abdominal infections.
Subject(s)
Abdominal Abscess , Endocarditis, Bacterial , Endocarditis , Staphylococcal Infections , Abdominal Abscess/complications , Abdominal Abscess/diagnosis , Abscess/diagnosis , Endocarditis/complications , Endocarditis/diagnosis , Endocarditis, Bacterial/complications , Endocarditis, Bacterial/diagnosis , Humans , Staphylococcal Infections/complications , Staphylococcal Infections/diagnosisABSTRACT
Necropsobacter rosorum is a gram-negative facultative anaerobe, which was reclassified from the family Pasteurellaceae in 2011. It has been detected in the gastrointestinal and respiratory tracts of mammals; however, reports of infection in humans are scarce. We report a case of an abdominal abscess in which N. rosorum was detected; it was successfully treated with drainage and antimicrobial therapy. Routine laboratory testing such as matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and an identification system using biochemical phenotypes could not identify N. rosorum. Instead, it was misidentified as other Pasteurellaceae species, including Aggregatibacter spp. or Pasteurella spp. Sequencing of 16S rRNA was required to identify N. rosorum. We suggest the application of simple methods, such as indole production, oxidase, and catalase tests, to differentiate N. rosorum from genetically similar species.
Subject(s)
Abdominal Abscess , Pasteurellaceae , Abdominal Abscess/diagnosis , Animals , Humans , Mammals/genetics , Pasteurellaceae/genetics , RNA, Ribosomal, 16S/genetics , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methodsSubject(s)
Abdominal Abscess/surgery , Aorta/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Femoral Artery/surgery , Intermittent Claudication/surgery , Peripheral Arterial Disease/surgery , Pseudomonas Infections/surgery , Sepsis/surgery , Abdominal Abscess/diagnosis , Abdominal Abscess/microbiology , Aged , Anti-Bacterial Agents/therapeutic use , Aorta/diagnostic imaging , Female , Femoral Artery/diagnostic imaging , Humans , Pseudomonas Infections/diagnosis , Pseudomonas Infections/microbiology , Reoperation , Sepsis/diagnosis , Sepsis/microbiology , Time Factors , Treatment OutcomeABSTRACT
Abdominal actinomycosis refers to a rare chronic suppurative infectious occurrence, caused by filamentous Gram-positive microaerophilic and anaerobic bacteria Actinomyces, that may appear as an abdominal mass and/or abscess, feasibly mimicking a malignancy 1,2. Due to its rarity and unspecific clinical evidence, the majority of cases are diagnosed after tissue specimen. We hereby report a case of a 69-year-old patient with a one week worsening abdominal pain and swelling. A large tender palpable mass in the epigastric region was noted on physical exam. An ultrasound-guided drainage followed by a surgical excision approach became both a way to confirm the diagnosis and a therapeutic tool. Diagnosis of actinomycosis was made on histopathology and microbiology. Even though the incidence of actinomycosis has decreased, the abdominal presentation has been observed with increasing frequency 3. KEY WORDS: Actinomycosis, Abdominal wall, Abdominal abscess, foreign-body reaction, Colonic neoplasms.
Subject(s)
Abdominal Abscess , Abdominal Wall , Actinomycosis , Abdominal Abscess/diagnosis , Abdominal Abscess/surgery , Actinomyces , Actinomycosis/diagnosis , Aged , Humans , UltrasonographySubject(s)
Abdominal Abscess , Abdominal Pain , Anorexia , Fatigue , Histoplasma , Histoplasmosis , Itraconazole/administration & dosage , Lymphadenopathy/pathology , Pancytopenia , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Pain/diagnosis , Abdominal Pain/etiology , Aged , Anorexia/diagnosis , Anorexia/etiology , Antifungal Agents/administration & dosage , Bone Marrow Examination/methods , Clinical Deterioration , Diagnosis, Differential , Fatal Outcome , Fatigue/diagnosis , Fatigue/etiology , Female , Histoplasma/isolation & purification , Histoplasma/pathogenicity , Histoplasmosis/diagnosis , Histoplasmosis/pathology , Histoplasmosis/physiopathology , Histoplasmosis/therapy , Humans , Liver Function Tests/methods , Pancytopenia/diagnosis , Pancytopenia/etiology , Splenomegaly/diagnostic imaging , Tomography, X-Ray Computed/methodsABSTRACT
COVID-19 pandemic has obviously affected patients' behavior towards seeking medical help as well as physicians' decision in the management of emergencies. Our recent experience as surgeons at a COVID-19 referral hospital revealed cases which share an alerting characteristic: the delay in appropriate management. Unfortunately for COVID-19 negative patients a "coronacentric" health system has been adopted. In view of measures applied to avoid spread of the disease, a significant delay in patients' presentation as well as in their in-hospital management is observed. We present cases where delay in appropriate management affected the patients' outcome and underline the fact that balancing between COVID-19 safety measures and a patient who needs urgent treatment can be very challenging and stressful.
Subject(s)
Abdominal Abscess/surgery , COVID-19 Testing , COVID-19/diagnosis , Delivery of Health Care , Patient Acceptance of Health Care , Time-to-Treatment , Abdominal Abscess/diagnosis , Adult , Aged, 80 and over , Appendicitis/diagnosis , Appendicitis/surgery , COVID-19/prevention & control , COVID-19/transmission , Disease Progression , Fatal Outcome , Female , Humans , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Intestinal Perforation/diagnosis , Intestinal Perforation/surgery , Length of Stay , Liver Abscess/diagnosis , Liver Abscess/therapy , Male , Megacolon/diagnosis , Megacolon/surgery , Middle Aged , Patient Safety , Risk Assessment , Risk Factors , Time Factors , Treatment OutcomeABSTRACT
We treated an 85-year-old man with an abscess perforating into the retroperitoneal space from the sigmoid colon, with retroperitoneal drainage combined with antibiotics. CT showed no abscess formation in the intraperitoneal space. The patient consulted a doctor with a chief complaint of left-side low back pain and fever. He was first diagnosed with bacteremia due to Escherichia coli and close examination by CT revealed a retroperitoneal abscess. On referral to our hospital, we determined by CT that the cause of abscess formation was perforation of the intestine into the retroperitoneal space and spreading into the psoas muscle compartment. We then performed colostomy and abscess drainage through the retroperitoneal space to prevent the abscess disseminating into the intraperitoneal space. The abscess and necrotic tissue cultures were polymicrobial, including Enterobacteriaceae and Bacteroides spp. The abscess almost disappeared after drainage, and the patient's general condition gradually improved. The retroperitoneal abscess did not relapse by follow-up CT. In conclusion, this rare case presented with perforation of the intestine (Sigmoid colon) disseminated only to the retroperitoneal space without no intraperitoneal space abscess formation. We performed drainage only by a retroperitoneal approach without entering the intraperitoneal space.
Subject(s)
Abdominal Abscess/microbiology , Abscess/microbiology , Anti-Bacterial Agents/therapeutic use , Coinfection/diagnosis , Coinfection/therapy , Colon, Sigmoid/injuries , Drainage/methods , Intestinal Perforation/complications , Retroperitoneal Space/microbiology , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Abscess/surgery , Abscess/complications , Aged, 80 and over , Bacteroides , Coinfection/microbiology , Colon, Sigmoid/pathology , Colostomy , Enterobacteriaceae , Escherichia coli , Fever/etiology , Humans , Intestinal Perforation/diagnosis , Intestinal Perforation/surgery , Male , Retroperitoneal Space/diagnostic imaging , Retroperitoneal Space/surgery , Tomography, X-Ray Computed , Treatment OutcomeSubject(s)
Abdominal Abscess/diagnosis , Diagnostic Errors , Screw Worm Infection/diagnosis , Travel , Adolescent , Animals , Borneo , Calliphoridae , Humans , MaleABSTRACT
Intra-abdominal and anorectal abscesses are common pathologies seen in both inpatient and outpatient settings. To decrease morbidity and mortality, early diagnosis and treatment are essential. After adequate drainage via a percutaneous or incisional approach, patients need to be monitored for worsening symptoms or recurrence and evaluated for the underlying condition that may have contributed to abscess formation.