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Drainage of Subphrenic Abscess

  • Jameson L. Chassin

Abstract

Although subphrenic abscesses may arise from primary infections of the biliary tract, the appendix, or the colon, in the great majority of cases subphrenic sepsis follows a previous abdominal operation. In DeCosse, Poulin, Fox, and Condon’s study of 52 patients in whom subphrenic sepsis followed previous surgery, 22 of them developed abscesses subsequent to operations on the stomach and 11 of them, abscesses after biliary tract surgery. Other causes of subphrenic abscesses included surgery for trauma in 7 patients and colon operations in another 7 cases. These authors felt that postoperative bleeding was a common contributing cause in their series of subphrenic abscesses, many of which were, in fact, infected hematomas. Inadvertent splenectomy was another postoperative complication associated with left-sided subphrenic sepsis following gastric surgery.

Keywords

Midline Incision Bare Area Abscess Cavity Abdominal Abscess Transversalis Fascia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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