We herein report the first case treated by laparoscopic surgery for gastric GIST presenting with an intra-abdominal abscess. Case Presentation A 70-year-old man presented with a 3-day history of acute upper abdominal pain. [karger.com]

The laparoscopic removal of this migrated band is presented. [websurg.com]

A high fever is present in the initial stages but in severe peritonitis there may be hypothermia. Tachycardia is usually present. The classic abdominal signs are tenderness on palpation, guarding and rebound tenderness. [patient.info]

ALAs in children can have atypical presentations, resulting in delayed diagnosis and increased morbidity and mortality. Timely treatment is usually followed by complete recovery. [ncbi.nlm.nih.gov]

On presentation, she had a large abscess draining pus on the left thigh with smaller nodules on the right thigh and a carbuncle on her anterior abdominal wall. [care.diabetesjournals.org]

• Swelling

  After giving local anesthesia lignocaine stab incision given over the swelling. pus sent for culture and sensitivity study. whole cavity explored and all pus drained out. the necrotic skin over the centre of swelling removed with blade and the mouth made [popthatzits.com]

  As the pus builds up inside, the boil begins to swell. [humanillnesses.com]

  Within 6 or 7 days I developed a very painful swelling in my right hand ring finger. I can barely bend the finger, and it hurts. [justanswer.com]

  This causes swelling (inflammation) at the site of infection and the death of nearby tissue. A cavity is created, which fills with pus to form an abscess. The pus contains a mixture of dead tissue, white blood cells and bacteria. [nhsdirect.wales.nhs.uk]

  The area swells due to the accumulation of water, blood, and other liquids. It turns red. It hurts, due to irritation from the swelling and the chemical activity. These four signs—heat, swelling, redness, and pain—characterize inflammation. [encyclopedia.com]

• Sepsis

  If left untreated it can lead to life threatening condition called sepsis. What Causes Intra-Abdominal Abscess? There are wide varieties of reasons linked in formation of intra abdominal abscess. [tandurust.com]

  Complications [ edit ] An unremoved infected abscess may lead to sepsis. [2] Also, multiple abscesses may occur. Other complications may include fistula formation and recurrent pancreatitis. [en.wikipedia.org]

  If this process fails, generalised life-threatening peritonitis occurs. [ 2 ] Aetiology The cause of intra-abdominal sepsis and abscesses is wide. [patient.info]

  Disease description Patients either develop intra-abdominal candidiasis after abdominal surgery pancreatitis or other intra-abdominal sepsis or as a complication of peritoneal dialysis. [life-worldwide.org]

  Overview of modern management of patients with critical injury and severe sepsis. [Review] [68 refs]. [ptolemy.ca]

• Collapse

  The drain collapses the pocket and allows the abscess to heal. Antibiotics: These are used but are often not effective by themselves. The problem is that the antibiotics cannot penetrate a large abcess. [j-pouch.org]

  Irrigation must be complete, and a Penrose or sump drain should be placed to allow continued evacuation and collapse of the abscess cavity postoperatively. Improved clinical findings within 3 days after treatment indicate successful drainage. [emedicine.medscape.com]

  Caregivers may use the x-ray to look for signs of infection like pneumonia, or to look for collapsed lungs. Chest x-rays may show tumors, broken ribs, or fluid around the heart and lungs. [drugs.com]

  Similarly, the postoperative management of drains involved cumbersome rituals with the drains sequentially shortened, based on serial contrast sinogram - to ascertain the gradual collapse of the cavities and drain - tracts. [ncbi.nlm.nih.gov]

  Symptoms Patients who have a severe bleeding may experience shock (that is, become pale or clammy, feel dizzy or even collapse if the blood pressure drops). [familydoctor.co.uk]

• Gangrene

  […] gall bladder, gangrene of intestine Penetrating abdominal injury Post-operative infection An intra-abdominal abscess usually affects patients with predisposing diseases of the abdominal organs. [healthhype.com]

  ► Gangrene (tissue death). Systemic spread of infection will cause: ► Endocarditis. ► Osteomyelitis. ► Multiple new abscesses ("seeding" of infection). ► Abscess formation on the joints, pleura, or other locations. [medindia.net]

  […] organisms can include: enterobaceteriacae anaerobes streptococci Extravisceral abscess Extravisceral abscess can follow: peritonitis intra-abdominal surgery gut perforation, often following peptic ulcer perforated appendicitis perforated diverticulitis gangrenous [sharinginhealth.ca]

  When appendicitis goes untreated, serious complications may develop: Gangrene: Tissue injury and cell death Perforated appendicitis: The appendix ruptures, and feces contaminate the abdominal cavity (peritoneum) causing a life-threatening infection termed [innerbody.com]

  She underwent urgent laparoscopic cholecystectomy, which recovered a gangrenous gallbladder and 80 mL of pus. Sample cultures grew E. coli and Enterococcus species. [academic.oup.com]

• Anorexia

  Patients with complete obstruction experience cramp-like pain, anorexia, nausea, inability to pass wind or stools, and a swollen, distended stomach. [familydoctor.co.uk]

  Nausea, anorexia, and weight loss are common. Abscesses in the Douglas cul-de-sac, adjacent to the rectosigmoid junction, may cause diarrhea. [msdmanuals.com]

  Anorexia, nausea and vomiting may also be present. Signs Abscess The temperature chart is typically described as 'swinging' or 'spikey' (swinging pyrexia). [patient.info]

  She developed anorexia and experienced minimal weight loss without fever, sweats, or chills. [academic.oup.com]

  Associations with anorexia, nausea, vomiting, bowel activity and menstrual cycle are all important. Physical examination is crucial and must include inspection, auscultation, percussion and palpation, in that order. [ptolemy.ca]

• Pleural Effusion

  Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done. [msdmanuals.com]

  With a subphrenic abscess, patients may experience persistent hiccups, shoulder pain or certain lung complications like a pleural effusion ( fluid around the lungs ) or pleuritis. [healthhype.com]

  With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]

  […] pancreatectomy膵切除術 pancreatic calcification膵石灰化 pancreatic cyst (cyst of pancreas)膵嚢胞 pancreatic duct cell carcinoma膵管癌 pancreatic functioning diagnostant (PFD) test (BT-PABA test, bentiromide test)PFD試験＝BT-PABA試験、ベンチロミド試験 pancreatic juice膵液 pancreatic pleural [tokyo-med.ac.jp]

  Plain radiographs, while not particularly sensitive, may be all that is available and suggest the presence of abscesses in 50% of cases. ( 4 ) Sub-phrenic abscesses may show elevation of the hemi-diaphragm, atelectasis and pleural effusion of the adjacent [ptolemy.ca]

• Abdominal Pain

  Symptoms The predominate symptom of appendicitis is abdominal pain originating at the navel (periumbilical pain) then shifting to the right lower abdomen. [innerbody.com]

  A person may or may not have abdominal pain. [merckmanuals.com]

  Severe abdominal pain, fever, lack of appetite, loss of weight, malaise etc are some of the symptoms of abdominal abscess. Intra-abdominal abscess needs urgent medical attention. [tandurust.com]

  He said the fluid should cause her no pain but will keep an eye on it and doesn't feel like it has anything to do with the abdominal pain. [healthquestions.medhelp.org]

  Signs and symptoms [ edit ] Patients with pancreatic abscesses may experience abdominal pain, chills and fever or the inability to eat. Whereas some patients present an abdominal mass, others do not. Nausea and vomiting may also occur. [en.wikipedia.org]

• Vomiting

  Medicines may cause side effects, such as itching, nausea, vomiting, or seizures (convulsions). If left untreated, your problems could get worse and may be life-threatening. [drugs.com]

  You may have: Swollen belly Diarrhea Fever or chills Lack of appetite and possible weight loss Nausea or vomiting Weakness Cough Your symptoms can be a sign of many different problems. [medlineplus.gov]

  Additional symptoms may include loss of appetite, nausea, vomiting, and low-grade fever. [innerbody.com]

  […] intra-abdominal abscess may arise following: Localization of peritonitis Gastrointestinal perforation Anastomotic leak Hematogenous (bloodstream) spread Sites of gravitational drainage Pelvis Subhepatic spaces Subphrenic spaces Paracolic gutters Symptoms Nausea Vomiting [mssurgery.com]

• Nausea

  Other symptoms include nausea, loss of appetite, and weight loss. [merckmanuals.com]

  You may have: Swollen belly Diarrhea Fever or chills Lack of appetite and possible weight loss Nausea or vomiting Weakness Cough Your symptoms can be a sign of many different problems. [medlineplus.gov]

  Patients with complete obstruction experience cramp-like pain, anorexia, nausea, inability to pass wind or stools, and a swollen, distended stomach. [familydoctor.co.uk]

  […] intra-abdominal abscess may arise following: Localization of peritonitis Gastrointestinal perforation Anastomotic leak Hematogenous (bloodstream) spread Sites of gravitational drainage Pelvis Subhepatic spaces Subphrenic spaces Paracolic gutters Symptoms Nausea [mssurgery.com]

• Loss of Appetite

  Other symptoms include nausea, loss of appetite, and weight loss. [merckmanuals.com]

  Additional symptoms may include loss of appetite, nausea, vomiting, and low-grade fever. [innerbody.com]

  Vomiting and a loss of appetite may also be part of the clinical presentation with weight loss in long standing cases. At times there can be only vague symptoms like gastrointestinal dysfunction and fever. [healthhype.com]

  General symptoms of abdominal abscesses include: feeling unwell abdominal pain nausea and vomiting fever loss of appetite The symptoms of an abdominal abscess may be similar to the symptoms of other, less serious conditions. [healthline.com]

  You may also have loss of appetite, nausea (upset stomach), vomiting (throwing up), or unplanned weight loss. Sometimes, cough, trouble breathing, or yellowing of the skin and whites of the eyes, may be present. [drugs.com]

• Hiccup

  With a subphrenic abscess, patients may experience persistent hiccups, shoulder pain or certain lung complications like a pleural effusion ( fluid around the lungs ) or pleuritis. [healthhype.com]

  […] top Signs and Symptoms history physical exam History Presenting symptoms are diverse and include: abdominal pain, often poorly localized nausea, vomiting paralytic ileus Subphrenic abscesses can cause: shoulder pain (referred diaphragmatic pain, C3,4) hiccup [sharinginhealth.ca]

  Subphrenic abscesses may cause chest symptoms such as nonproductive cough, chest pain, dyspnea, hiccups, and shoulder pain. Rales, rhonchi, or a friction rub may be audible. [msdmanuals.com]

  With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]

  Shoulder tip pain and hiccups may derive from a sub-phrenic abscess. Diarrhoea and urinary frequency may result from pelvic abscess. Hip flexion and pain on extension may indicate psoas abscess. ( 42 ) Presence of these signs is helpful. [ptolemy.ca]

• Dental Abscess

  A common contributing cause is dental decay, which is why regular dental checkups are important. Dental abscesses may also result from injuries such as a fracture in the tooth. [humanillnesses.com]

  Types of abscesses There are many different types of abscesses, including: skin abscesses or boils - often affecting the face, throat, armpits or groin dental abscesses - inside the tooth or gum pilonidal abscesses or cysts - in the crease of the buttocks [healthdirect.gov.au]

  The most common sites on the skin in your armpits (axillae), areas around your anus and vagina ( Bartholin gland abscess ), the base of your spine ( pilonidal abscess ), around a tooth ( dental abscess ), and in your groin. [webmd.com]

  Abscesses can affect any organ, including the brain, kidneys, liver (hepatic abscess), stomach or intra-abdominal area, lungs, breast, neck, face, cheeks, multiple teeth or an individual tooth ( dental abscess ), gums, throat, or tonsils ( peritonsillar [emedicinehealth.com]

  […] on each side of the opening of the vagina a brain abscess – a rare but potentially life-threatening build-up of pus inside the skull a dental abscess – a build-up of pus under a tooth or in the supporting gum and bone a quinsy (peritonsillar abscess) [nhsdirect.wales.nhs.uk]

• Tachycardia

  With generalised peritonitis, the patient is very unwell, with marked fever, tachycardia and dehydration. There is diffuse abdominal pain, exacerbated by even the slightest movement. [surgwiki.com]

  Tachycardia is usually present. The classic abdominal signs are tenderness on palpation, guarding and rebound tenderness. The tenderness will be maximal over the area of pathology. [patient.info]

  […] ulcer)吻合部潰瘍 subacute bacterial endocarditis 亜急性細菌性心内膜炎 subacute hepatic necrosis亜急性肝壊死 submucosal layer粘膜下層 superficial gastritis表層性胃炎 superior mesenteric artery syndrome (arteriomesenteric occlusion of duodenum)上腸間膜動脈症候群 suppository坐薬 swallowing嚥下運動 t tachycardia [tokyo-med.ac.jp]

• Thrombosis

  Complications Undrained abscesses may extend to contiguous structures, erode into adjacent vessels (causing hemorrhage or thrombosis), rupture into the peritoneum or bowel, or form a cutaneous or genitourinary fistula. [msdmanuals.com]

  You are describing an abdominal abscess, multiple surgeries for colon cancer and subsequent complications (adhesions), diarrhea, and a deep venous thrombosis. [healthquestions.medhelp.org]

  Specific HIV-related conditions include: primary peritonitis, spontaneous bowel perforation, mesenteric thrombosis, colitis (in adults), necrotizing enterocolitis (in infants), acalculous cholecystitis and intra-peritoneal rupture of splenic or hepatic [ptolemy.ca]

• Atelectasis

  Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done. [msdmanuals.com]

  With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]

  Plain radiographs, while not particularly sensitive, may be all that is available and suggest the presence of abscesses in 50% of cases. ( 4 ) Sub-phrenic abscesses may show elevation of the hemi-diaphragm, atelectasis and pleural effusion of the adjacent [ptolemy.ca]

• X-Ray Abnormal

  Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done. [msdmanuals.com]

• Pleural Effusion

  Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done. [msdmanuals.com]

  With a subphrenic abscess, patients may experience persistent hiccups, shoulder pain or certain lung complications like a pleural effusion ( fluid around the lungs ) or pleuritis. [healthhype.com]

  With a subphrenic collection, there may be shoulder tip pain, hiccups and unexplained pulmonary symptoms (pleural effusion, basal atelectasis). [surgwiki.com]

  […] pancreatectomy膵切除術 pancreatic calcification膵石灰化 pancreatic cyst (cyst of pancreas)膵嚢胞 pancreatic duct cell carcinoma膵管癌 pancreatic functioning diagnostant (PFD) test (BT-PABA test, bentiromide test)PFD試験＝BT-PABA試験、ベンチロミド試験 pancreatic juice膵液 pancreatic pleural [tokyo-med.ac.jp]

  Plain radiographs, while not particularly sensitive, may be all that is available and suggest the presence of abscesses in 50% of cases. ( 4 ) Sub-phrenic abscesses may show elevation of the hemi-diaphragm, atelectasis and pleural effusion of the adjacent [ptolemy.ca]

Recently, the ultrasonic or CT guided percutaneous puncture technique has offered an alternative to conventional surgical treatment 3, 5 ). [kjim.org]

Treatment typically involves surgery and antibiotics. Course of illness The outcome is often good with treatment, but can be poor without treatment. Sometimes the outcome is poor even with prompt and adequate treatment. [mssurgery.com]

Treatment Treatment is with intravenous fluids and, if you have become anaemic, a blood transfusion may be required. [familydoctor.co.uk]

However, CT-guided drainage is the option treatment for patients who may not tolerate an open procedure. Endoscopic treatment is at the same time a treatment option that increased in popularity over the last years. [en.wikipedia.org]

Treatment Like other abscesses, a Bartholin's gland abscess may open and drain spontaneously without treatment. Warm sitz baths for 15 to 20 minutes two or three times a day may give symptomatic relief and help the abscess resolve. [pregnancy.lovetoknow.com]

Prognosis Abscess The prognosis has improved considerably with the advent of drainage under CT scanning. Deaths are generally due to the underlying disease process or unsuspected foci of infection. [patient.info]

Prognosis [ edit ] The outlook is generally based on the severity of the infection. It is however a severe complication which may result in the death of the patient if the appropriate treatment is not administered. [en.wikipedia.org]

The prognosis is generally excellent, but some individuals may suffer from recurrent abscesses requiring medical attention. Most people do not require antibiotics. The pain should improve almost immediately after drainage and subside more each day. [emedicinehealth.com]

Prognosis Once an abscess is properly drained, the prognosis is excellent for the condition itself. The reason for the abscess (other diseases an individual has) will determine the overall outcome. [encyclopedia.com]

Etiology Intra-abdominal abscesses are classified as intraperitoneal, retroperitoneal, or visceral (see table Intra-Abdominal Abscesses ). Many intra-abdominal abscesses develop after perforation of a hollow viscus or colonic cancer. [msdmanuals.com]

Actinomycosis should be considered in the differential etiologic diagnosis of retroperitoneal or abdominal abscesses in patients who have had previous laparoscopic cholecystectomy. [academic.oup.com]

Etiology/Epidemiology A wide variety of disease states give rise to intra-abdominal infection. ( 4 ) While varying according to age, gender and geography, the three most common causes of generalized peritonitis in low-income countries are probably appendicitis [ptolemy.ca]

Epidemiology The incidence depends on the cause. In a hospital setting the prevalence of SBP is around 10%. [ 3 ] Three studies of patients with perforated appendicitis found an incidence of postoperative abscess formation of 20%. [patient.info]

Epidemiology and pathophysiology of intraabdominal infections (IAI). [Review] [26 refs]. Infection 26(5):329-34, 1998;-Oct. (15) Laroche M, Harding G. Primary and secondary peritonitis: an update. [Review] [79 refs]. [ptolemy.ca]

[…] cholecystitis mesenteric ischemia and infarction post-operative complications penetrating trauma Causative organisms can include: enterobaceteriacae anaerobes streptococci E coli Bacteroides fragilis Staph and Strep following trauma/surgery return to top Pathophysiology [sharinginhealth.ca]

Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis, 9e. Philadelphia, PA: Elsevier; 2010. Appendicitis. [innerbody.com]

Pathophysiology Peritonitis is an inflammatory response to peritoneal injury. [ptolemy.ca]

Also, it is recommended that patients who have a prolonged clinical response are tested repeatedly as a prevention method to avoid the development of an abscess that may rupture. [4] Prevention [ edit ] In some cases, abscesses may be prevented by draining [en.wikipedia.org]

The catheter may be sutured (sewn) to the skin to prevent it from moving. The catheter may need to be flushed with a saline (salt-water) solution once in a while. [drugs.com]

To help prevent abscesses: keep your skin clean and healthy avoid scratches or nicks to your skin eat healthily to build your immune system and keep a healthy weight. avoid smoking Last reviewed: April 2018 [healthdirect.gov.au]

Preventing a skin abscess Most skin abscesses are caused by bacteria getting into a minor wound, the root of a hair or a blocked oil or sweat gland. [your.md]