Chapter 26: Surgical Infection- Peritoneal Abscess Flashcards
1
Q
What is a peritoneal abscess?
A
Abscess within the peritoneal cavity
2
Q
What are the causes?
A
- Postoperative status after a laparotomy
- ruptured appendix
- peritonitis
- anyinflammatory intraperitoneal process
- anastomotic leak
3
Q
What are the signs/symptoms?
A
- Fever (classically spiking)
- abdominal pain
- mass
4
Q
How is the diagnosis made?
A
Abdominal CT scan (or ultrasound)
5
Q
When should an abdominal CT scan be obtained looking for a postoperative abscess?
A
After POD #7
- otherwise, abscess will not be “organized” and will look like anormal postoperative fluid collection
6
Q
What CT scan findings are associated with abscess?
A
Fluid collection with fibrous rind, gas in fluid collection
7
Q
What is the treatment?
A
Percutaneous CT–guided drainage
8
Q
What is an option for drainage of pelvic abscess?
A
Transrectal drainage (or transvaginal)
9
Q
All abscesses must be drained except which type?
A
Amebiasis!
