Subdiaphragmatic abscess - purulent formation, which appeared under the diaphragm. Most often occurs as a result of complications in acute inflammatory diseases of the peritoneal organs, including peritonitis, acute appendicitis and cholecystitis. The ailment is infrequent. Basically it is located intra-abdominally, less often - behind this department. Depending on the location of the neoplasm, the ailment is divided into right-sided, left-sided and medial. Most often the first form of the disease occurs.
Symptoms of subdiaphragmatic abscess
Development of the disease is accompanied by such symptoms:
- pain in the subcostal area to the right or left;
- unpleasant sensations in the chest;
- hiccough ;
- nausea;
- elevated temperature;
- sweating;
- increased heart rate;
- dyspnea.
When several or all of these symptoms appear, indicates an urgent hospitalization of the patient.
Diagnosis of subdiaphragmatic abscess
To determine the disease using different methods:
- chest and abdominal x-ray;
- blood test;
- Ultrasound of the abdomen;
- computed tomography ;
- when finding an abscess, a test puncture is taken.
Causes of subdiaphragmatic abscess
There are several main causes of the disease:
- postoperative peritonitis, which appeared after resection of the stomach, stomach ulcers, gastrectomy;
- open and closed thoracoabdominal injuries (punctured, cut wounds, bruises), bruises;
- inflammation of internal organs - spleen, liver, appendicitis;
- purulent processes in the lungs and pleura.
Treatment of subdiaphragmatic abscess
Complex treatment consists of several basic therapies:
- antibacterial;
- general strengthening;
- symptomatic;
- detoxification.
At the same time, the most used method of treating this ailment is dissection of the sub-diaphragmatic abscess and subsequent drainage. The operation is performed by two methods - transthoracic or transabdominal. The choice of method directly depends on the stage of development and location of the disease.
The operation with the subsequent installation of drainage allows creating all the necessary conditions for the outflow of pus. Often, along with the main incision, an additional one is made. This makes it possible to slowly clean the cavity and conduct its revision. In addition, the contents are displayed with a large needle. After this, the empty cavity is washed with antibiotics and antiseptics.