Subphrenic abscess

Konvolinka, Carl W.; Olearczyk, Andrew

doi:10.1016/s0011-3840(72)80007-8

Cited by 9 publications

(3 citation statements)

References 88 publications

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“…Despite surgical technical advances, Oschner and DeBakey (1 938) reported a mortality of 32.8 per cent in operated cases and 89.9 per cent in non-operated cases. Since the introduction of antibiotic therapy the mortality rate has been reported as low as 7.5 per cent (Ozeran, 1967), but in most series it remains higher between 14 and 35 per cent with surgery, and 30-94 per cent without surgery (Wetterfors, 1959;Dineen and McSherry, 1962;Carter and Brewer, 1964;Magilligan, 1968;Sherman and Davis, 1969;Halasz, 1970;Konvolinka and Olearczyk, 1972).…”

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confidence: 99%

Subphrenic abscess in children

Mackenzie

Fordyce

Young

1975

Journal of British Surgery

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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.

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confidence: 99%

Subphrenic abscess in children

Mackenzie

Fordyce

Young

1975

Journal of British Surgery

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“…Its clinical manifestations are often vague and diverse, and its symptoms and signs together constitute thoracoabdominal syndrome, leading to delayed diagnosis and a high incidence rate and mortality. [2] Subdiaphragmatic abscess is often secondary to acute peritonitis or remote infection with hematogenous dissemination. The bacteriological characteristics of these abscesses include aerobic and facultative bacteria, such as Escherichia coli, group D Enterococcus and Staphylococcus aureus, as well as less common anaerobic organisms, such as Bacteroides.…”

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confidence: 99%

A rare case of purulent pericarditis secondary to subdiaphragmatic abscess

Yang¹

2023

World J Emerg Med

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“…9,10 These collections commonly arise secondary to abdominal surgeries, local inflammatory processes, or hollow organ perforation, 11 but they can also be primary or idiopathic. 12 Rare cases of subphrenic collections have also been associated with mesothelial cysts, which are congenital coelomic remnants with a characteristic bilobulated appearance and extracapsular location on the side of the liver. 13 According to some reports, parapneumonic effusion may be associated with subphrenic collections.…”

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confidence: 99%

Case report of parapneumonic effusion and mesothelial subdiaphragmatic cyst: relationship or coincidence?

Hammoud,

Ammoury,

Iskandar

et al. 2024

J Int Med Res

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Parapneumonic pleural effusions are common in patients with pneumonia. When colonized by pathogenic bacteria or other microorganisms, these effusions can progress to empyema. Additionally, empyema formation may result in extension of the infection into the infradiaphragmatic region, further complicating the clinical scenario. Many subphrenic collections are found to be mesothelial cysts, which are congenital in origin. However, data regarding the potential association between mesothelial diaphragmatic cysts and parapneumonic effusions are limited. We herein describe a toddler with pneumonia complicated by parapneumonic effusion and a lung abscess with a subphrenic collection. After abscess drainage and a full course of antibiotics, imaging revealed clear lung parenchyma with an interval resolution of the effusion and a persistent unchanged subphrenic collection that was confirmed to be mesothelial diaphragmatic cyst. This case highlights the fact that not every subphrenic collection associated with parapneumonic effusion is a communicated collection formed by seeding. Such a collection can instead be an incidental cyst, which is congenital in origin and known as a mesothelial diaphragmatic cyst. A diaphragmatic mesothelial cyst is an uncommon benign congenital cyst that is unrelated to an adjacent parapneumonic effusion. It is usually incidental and can be monitored without invasive intervention.

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Subphrenic abscess

Cited by 9 publications

References 88 publications

Subphrenic abscess in children

Subphrenic abscess in children

A rare case of purulent pericarditis secondary to subdiaphragmatic abscess

Case report of parapneumonic effusion and mesothelial subdiaphragmatic cyst: relationship or coincidence?

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