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[How to detect the hepatic origin of a subphrenic abscess].
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[Subphrenic abscess; ways of extraserous approach].
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[Case of conservatively treated subphrenic abscess].
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[Subphrenic abscess of the 1st Surgical Clinical of the University of Vienna in the last 24 years (1933-1957)].
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[Subphrenic abscess: an analysis of 24 cases].
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[Subphrenic abscess in child].
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[Percutaneous drainage under echographic and x-ray control in suppurative cholecystitis and liver and subphrenic abscesses].
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[Diagnosis of subphrenic abscess by sonography (author's transl)].
The diagnosis of a subphrenic abscess by sonography is based mainly on the experience of the examiner. A short description of the normal subphrenium is given. The diagnostic criteria for a subphrenic abscess and the differentialdiagnosis are discussed. In 19 cases of subphrenic abscess in question the diagnosis was missed in two cases, giving a success rate of 89.5%.
[Subphrenic abscess due to ectopic appendicitis].
BACKGROUND: Idiopathic subphrenic abscesses are uncommon in children. Standard chest X-rays may provide the suspicion of this diagnosis. Initial percutaneous drainage of the collection is usually performed. Surgery is required when the underlying cause remains unknown. CASE REPORT: A 12-year-old boy presented signs of pulmonary abscess. Chest X-rays, ultrasonography and computed tomography established the diagnosis of a right subphrenic abscess, which was percutaneously drained. Surgery disclosed an ectopic appendiceal perforation. CONCLUSION: In children, appendicitis is the main etiology of primary or postoperative subphrenic suppurations. Ectopic appendicitis is an important predisposing factor to this complication.
Subphrenic abscess: a pulmonary presentation.
A patient with subphrenic abscess can present with pulmonary or abdominal symptoms because of the location of the abscess adjacent to the diaphragm. This thoracoabdominal clinical complex has been described previously and, if chest symptoms predominate, may obscure the diagnosis of subphrenic abscess. The case of a patient with occult abdominal pathology who presented with respiratory complaints is discussed.
Subphrenic abscess in children.
Nineteen consecutive cases of subphrenic abscess which were treated in the Royal Hospital for Sick Children, Glasgow, from 1962 to 1972 are analyzed. This complication of intra-abdominal suppuration of surgery still carries a grave prognosis. Four of the patients died (21 per cent); 2 deaths were related to the subphrenic abscess while the remaining 2 were not directly related to the abscess. The mean hospital stay of the survivors was 59 days (range 30-122 days). The changing patterns of aetiology and presentation which have recently been emphasized in general surgical practice are not reflected in this paediatric series.