Аннотация:
Introduction: Abdominal abscesses are one of the frequent and dangerous postoperative complication. They occur as a result of failure of seams esophagojejunal anastomosis after gastrectomy (17[%]), perforation of gastric and duodenal ulcers (26.8[%]), splenectomy (25.4[%]), failure of biliodigestive anastomoses (23.8[%]), inadequate drainage of the subphrenic space (22.2[%]), acute pancreatitis (14[%]). Left-sided subphrenic abscesses are the most common of them. Case presentation: We present a patient with the left-sided subphrenic abscess, formed as a result of insolvency of the esophagojejunal anastomosis after gastrectomy and splenectomy, which underwent percutaneous drainage under the control of ultrasound and X-ray. Sanitation of the abscess cavity and the introduction of fibrin glue into it made it possible to close the fistula and heal the patient. Discussion: The described case shows that the rehabilitation of the abscess and the injection of fibrin glue into it, made it possible to avoid
Ключевые слова:
Control of ultrasound and X-ray; Fibrin glue; Fistula; Percutaneous drainage; Subphrenic abscess
fibrin glue; metronidazole; abdominal drainage; abdominal radiography; adult; Article; body temperature; cancer surgery; case report; chill; clinical article; contrast radiography; echography; epigastric pain; esophagojejunostomy; gastrectomy; human; left sided subphrenic abscess; leukocytosis; middle aged; percutaneous drainage; priority journal; splenectomy; Staphylococcus aureus; stomach cancer; subphrenic abscess
Karpova R. V. Radmila Vladimirovna 1971-
Kirakosyan E. V. Evgeniya Valerikovna 1996-
Khorobry'kh T. V. Tat`yana Vitalyevna 1968-
Chernousov A. F. Aleksandr Fedorovich 1938-
Карпова Р. В. Радмила Владимировна 1971-
Киракосян Е. В. Евгения Валериковна 1996-
Хоробрых Т. В. Татьяна Витальевна 1968-
Черноусов А. Ф. Александр Федорович 1938-
Percutaneous drainage under the control of ultrasound of the left-sided subphrenic abscess after gastrectomy: A case report
Текст визуальный непосредственный
Annals of Medicine and Surgery
Vol.47 P. 41-43
2019
Статья
Control of ultrasound and X-ray Fibrin glue Fistula Percutaneous drainage Subphrenic abscess
fibrin glue metronidazole abdominal drainage abdominal radiography adult Article body temperature cancer surgery case report chill clinical article contrast radiography echography epigastric pain esophagojejunostomy gastrectomy human left sided subphrenic abscess leukocytosis middle aged percutaneous drainage priority journal splenectomy Staphylococcus aureus stomach cancer subphrenic abscess
Introduction: Abdominal abscesses are one of the frequent and dangerous postoperative complication. They occur as a result of failure of seams esophagojejunal anastomosis after gastrectomy (17[%]), perforation of gastric and duodenal ulcers (26.8[%]), splenectomy (25.4[%]), failure of biliodigestive anastomoses (23.8[%]), inadequate drainage of the subphrenic space (22.2[%]), acute pancreatitis (14[%]). Left-sided subphrenic abscesses are the most common of them. Case presentation: We present a patient with the left-sided subphrenic abscess, formed as a result of insolvency of the esophagojejunal anastomosis after gastrectomy and splenectomy, which underwent percutaneous drainage under the control of ultrasound and X-ray. Sanitation of the abscess cavity and the introduction of fibrin glue into it made it possible to close the fistula and heal the patient. Discussion: The described case shows that the rehabilitation of the abscess and the injection of fibrin glue into it, made it possible to avoid