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SUBPHRENIC ABSCESS

SUBPHRENIC ABSCESS Abstract SUBPHRENIC abscess, although infrequent, is a grave complication of abdominal suppuration. During the past fifteen years, the introduction of antibiotic preparations and the use of an extraserous type of surgical drainage have contributed to the successful management of patients with subphrenic abscess. The mortality rate, however, remains higher than should reasonably be expected. There are many factors which contribute to a high mortality rate in this disease, and we believe that a discussion of such factors may be of benefit. Diagnosis has been notoriously difficult and localization of the abscess almost conjectural. The time interval between the onset of intraperitoneal suppuration and the diagnosis of subphrenic abscess is unduly long. A successful extraperitoneal drainage requires familiarity with the anatomy of the subdiaphragmatic spaces and careful avoidance of contamination of the pleural and peritoneal cavities. This report includes 40 cases seen during the past twelve years at University Hospitals of Cleveland. References 1. Ochsner, A., and Graves, A. M.: Subphrenic Abscess: An Analysis of 3,372 Collected and Personal Cases , Ann. Surg. 98:961 ( (Dec.) ) 1933.Crossref 2. Hochberg, L. A.: Diagnostic Criteria for Subphrenic Abscess Based upon a Study of One Hundred and Thirty-Nine Cases , Ann. Int. Med. 17:183 ( (Aug.) ) 1942.Crossref 3. Ochsner and Graves.1 Hochberg.2 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1948 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1948.01240020853007
Publisher site
See Article on Publisher Site

Abstract

Abstract SUBPHRENIC abscess, although infrequent, is a grave complication of abdominal suppuration. During the past fifteen years, the introduction of antibiotic preparations and the use of an extraserous type of surgical drainage have contributed to the successful management of patients with subphrenic abscess. The mortality rate, however, remains higher than should reasonably be expected. There are many factors which contribute to a high mortality rate in this disease, and we believe that a discussion of such factors may be of benefit. Diagnosis has been notoriously difficult and localization of the abscess almost conjectural. The time interval between the onset of intraperitoneal suppuration and the diagnosis of subphrenic abscess is unduly long. A successful extraperitoneal drainage requires familiarity with the anatomy of the subdiaphragmatic spaces and careful avoidance of contamination of the pleural and peritoneal cavities. This report includes 40 cases seen during the past twelve years at University Hospitals of Cleveland. References 1. Ochsner, A., and Graves, A. M.: Subphrenic Abscess: An Analysis of 3,372 Collected and Personal Cases , Ann. Surg. 98:961 ( (Dec.) ) 1933.Crossref 2. Hochberg, L. A.: Diagnostic Criteria for Subphrenic Abscess Based upon a Study of One Hundred and Thirty-Nine Cases , Ann. Int. Med. 17:183 ( (Aug.) ) 1942.Crossref 3. Ochsner and Graves.1 Hochberg.2

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1948

References