Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Abdominal Abscess”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources
PubMed1992

Open management with mesh and zipper of patients with intra-abdominal abscesses or diffuse peritonitis.

OBJECTIVE: To evaluate the open management of intra-abdominal abscesses and persistent peritonitis by the "mesh and zipper" technique, and to assess the predictive value of the APACHE II score. DESIGN: Prospective open study. SUBJECTS: 21 consecutive patients with life-threatening peritonitis. INTERVENTIONS: Insertion of mesh and zipper and lavage once or twice daily with several litres of warmed saline. MAIN OUTCOME MEASURE: Mortality. RESULTS: Eleven of the 21 patients died (52%). The APACHE II score accurately predicted outcome, in that no patient who scored less than 20 points died, and no patient who scored more than 26 points lived. CONCLUSION: The mesh and zipper technique with daily intraperitoneal lavage is effective in the treatment of life-threatening peritonitis and the APACHE II score is an accurate predictor of survival.

Abscess↗
PubMed1990

Intra-abdominal abscesses in Crohn's disease.

We reviewed 22 patients who had intra-abdominal abscesses secondary to Crohn's disease. A total of 29 abscesses were discovered. These included superficial and deep intraperitoneal as well as pelvic and retroperitoneal abscesses. Diagnosis was aided by ultrasound and computer tomographic scanning. Barium studies continue to play an important role in delineating the extent of bowel involvement and fistulization. Treatment varied depending on the location and size of the abscess. The need for ultimate bowel resection was determined in the majority of cases by the presence of fistulization between the abscess cavity and the bowel. The terminal ileum or neoterminal ileum were almost always involved.

Abdomen↗
PubMed1978

Comparison of computed tomography, ultrasonography, and gallium-67 scanning in the evaluation of suspected abdominal abscess.

A retrospective study was made of 29 consecutive patients who were evaluated for suspected abdominal abscess by at least two of three imaging modalities: gallium-67 scanning, ultrasonography, and computed tomography. No statistically significant difference in accuracy of the findings could be demonstrated. Consideration of the advantages and disadvantages of each imaging modality will often indicate which to use in an individual case. Findings from the three imaging techniques sometimes provided complementary rather than identical information.

Abdomen↗
PubMed2004

The usefulness of Tc-99m-HMPAO-labeled leukocyte scintigraphy in the diagnosis of multiple intra-abdominal abscesses following in vitro fertilization (IVF) procedure.

Pelvic infection is a rare but well-known complication following IVF procedures with a reported incidence <1%. A case of multiple abdominal abscesses following IVF procedure was established by Tc-99m-HMPAO-labeled leukocyte scintigraphy and confirmed by laparotomy. This imaging technique should be recommended for early and precise diagnosis of pelvic infection following IVF.

Abdominal Abscess↗
PubMed1996

Abdominal abscess detection: gallium, 111In-, and 99mTc-labeled leukocytes, and polyclonal and monoclonal antibodies.

Computed tomography (CT) and magnetic resonance imaging (MRI) are excellent modalities for imaging patients with localizing signs of an intra-abdominal abscess. However, radionuclide techniques have an advantage over CT and MRI because they can evaluate the entire body for infection. In addition, radionuclides can noninvasively differentiate infection and inflammation from benign fluid collections. Radiopharmaceuticals available for imaging abdominal infection include gallium-67 citrate, indium-111, and technetium-99m-labeled leukocytes, and radiolabeled whole antibodies. The use of these radiopharmaceuticals for abdominal imaging is dependent on their biodistribution and mechanism of abscess localization.

Abdominal Abscess↗
PubMed1987

Haemophilus aphrophilus as a cause of chronic suppurative pulmonary infection and intra-abdominal abscesses.

A chronic Haemophilus aphrophilus pulmonary infection associated with the formation of intra-abdominal abscesses in a previously healthy 38-year-old man is described. Other reports have related the isolation of H. aphrophilus to underlying malignant disease or, when the cause of endocarditis, to pre-existing valvular disease. The underlying condition, if any, in this case remains unclear.

Abdomen↗
PubMed1974

Experimental intra-abdominal abscesses in rats: quantitative bacteriology of infected animals.

An animal model simulating intra-abdominal sepsis was produced by implanting large bowel contents into the pelvic region of rats. Bacteriological analysis of infected sites showed quantitative differences according to the stage of disease. During the initial, often lethal, peritonitis stage, Escherichia coli (mean concentration, 10(6)/ml), enterococci (10(5)) and Bacterioides fragilis (10(6)) were always present. Blood cultures obtained during this phase were uniformly positive, with E. coli being the principal isolate. Animals that survived this early acute peritonitis stage developed indolent intra-abdominal abscesses. The major isolates in abscess contents were B. fragilis (10(8.7)) and Fusobacterium (10(8.6)); E. coli (10(7.8)) and enterococci (10(5.7)) were also present but in lesser concentrations. Rank order analysis of these four species in peritoneal exudates and abscess pus showed that the two aerobes outranked the two anaerobes during the early stage of the disease, whereas the reverse was true in abscesses. These experiments also illustrated that a major simplification of the original fecal inoculum occurred, even though the subsequent infection remained bacteriologically complex.

Abscess↗
PubMed1992

Empyema following percutaneous catheter drainage of upper abdominal abscess.

Percutaneous catheter drainage is a standard therapy for management of selected intra-abdominal abscesses. We describe three patients in whom this technique caused complicated thoracic empyemas. All patients required thoracotomy for decortication despite initial thoracostomy tube drainage. In each case, the percutaneously placed drainage catheter was found traversing the costophrenic angle, leading to direct communication between the pleural space and the abscess cavity. Review of the anatomic relationships of the inferior pleural margin to the lower ribs may help prevent this technical error.

Abdomen↗
PubMed1986

[Abdominal abscess--diagnostic progress via sonography and computed tomography].

Remarkable progress in the detection of abdominal abscesses has been achieved in the course of the last few years by sonography and by computed tomography. Successful detection of abscesses depends to a major extent on sufficient knowledge about their formation and spread, especially under postoperative conditions. These problems are, therefore, dealt with first, Typical examples of sonographic and CT findings are then described and discussed.

Abdomen↗
PubMed1994

Noninvasive imaging tests in the diagnosis and treatment of intra-abdominal abscesses in the postoperative patient.

The postoperative surgical patient poses special problems in the diagnosis of intra-abdominal abscess. A natural evolution has occurred over the last 20 years from purely clinical impressions being used to initiate reoperations for abscess to the present scenario, in which sophisticated CT scans permit minimally invasive drainage methods. The CT scan has become the diagnostic imaging method of choice, with other techniques serving a very limited role at the present time.

Abdomen↗
PubMed1985

[Roentgenological diagnosis of abdominal abscesses].

An analysis of clinico-roentgenological data of 74 patients has been made. The patients were operated upon for acute appendicitis (43) and cholecystitis (31) and their postoperative period was complicated by local peritonitis. The importance of indirect and roentgenological symptoms for diagnosis of abscesses in the abdominal cavity is stressed.

Abscess↗
PubMed1986

[The accuracy of ultrasound in the diagnosis of intra-abdominal abscess formations].

During the last two years 73 patients with a total number of 84 abdominal abscesses have been investigated by ultrasound. Two thirds of the patients (67%) had postoperative abscesses. Spontaneous abscesses occurred in the remaining 33%. Multiple abscesses occurred in the postoperative group only (7 patients). The overall sensitivity in detecting an abscess was 84%. The sensitivity was much better with spontaneous abscesses (92%) than with postoperative abscesses (80%). One third of the patients have also been investigated by computed tomography. The diagnosis was confirmed either by needle aspiration or by operative drainage. Ultrasound was most useful in detecting abscesses in the right and left upper quadrant and in the pelvis, while CT was superior in the mid-abdomen and when dealing with multiple abscesses.

Abdomen↗
PubMed1989

Activity of ciprofloxacin in the treatment of experimental intra-abdominal abscesses in mice.

The therapeutic efficacy of ciprofloxacin in the treatment of experimental intra-abdominal abscesses in mice caused by a strain of Staphylococcus epidermidis was compared with that of ampicillin and clindamycin. The abscesses were produced by intraperitoneal administration of a bacterial suspension obtained by bacterial culture of S epidermidis diluted to 10(8) CFU/ml mixed with sterilized rat feces and barium sulphate in male BALB/C mice. The following doses of antibiotics were given twice a day for seven days: ciprofloxacin, 1 microgram/100 microliters; clindamycin, 1.5 micrograms/100 microliters; and ampicillin, 3.6 micrograms/100 microliters. The antibiotic serum and pus concentrations were also determined by an agar well diffusion assay. The maximum serum concentrations were obtained 30 minutes after intraperitoneal administration (ciprofloxacin, 2.7 micrograms/ml; clindamycin, 9.0 micrograms/ml; ampicillin, 3.9 micrograms/ml). The penetration inside the abscess was also satisfactory (ciprofloxacin, 0.51 microgram/ml; clindamycin, 3.4 micrograms/ml; ampicillin, 3.8 micrograms/ml). A favorable clinical and bacteriologic response was obtained in 69% of the mice following the ciprofloxacin treatment and in 56% following ampicillin. The efficacy of ciprofloxacin was much higher than that of clindamycin and ampicillin, presumably because of its much higher intrinsic potency against the pathogen rather than for its pharmacokinetic characteristics and its penetration inside the abscess.

Abdomen↗
PubMed1993

Influence of short-chain fatty acids produced by anaerobic bacteria on procoagulant activity produced by Escherichia coli and Bacteroides fragilis-stimulated leucocytes: possible role in intra-abdominal abscess formation.

The effect of selected short-chain fatty acids (SCFA) produced by anaerobic bacteria on the production in vitro of procoagulant activity (PCA) by human mononuclear cells stimulated by either Escherichia coli or Bacteroides fragilis which are common pathogens in intra-abdominal infections was investigated. In particular, acetic, propionic, succinic, butyric, and isobutyric acids were evaluated. Acetic, butyric, and isobutyric acids were able to inhibit significantly the production of PCA by bacteria-stimulated mononuclear cells. Since the production of PCA leads to the deposition of fibrin which is considered critical to the establishment of intra-abdominal abscesses, the inhibitory effect exerted by SCFA present in the inflammatory environment might play an important modulating role in the development of abscesses complicating intra-abdominal infections.

Bacteroides fragilis↗
PubMed1999

Abdominal abscess: late complication after gastroepiploic coronary artery bypass grafting.

The gastroepiploic artery is widely used an arterial conduit during coronary artery revascularisation surgery. We report an unusual complication of a 56-year-old man who developed a late intra-abdominal abscess extending into the mediastinum adjacent to the right ventricle more than 2 years after surgery. This was managed with percutaneous drainage and the patient made a full recovery. The case illustrates the potential problems associated with harvesting of this artery and the need for careful haemostasis.

Abdominal Abscess↗