Extra-abdominal collection post cholecystectomy
Sepsis following cholecystectomy. Any residual collection?
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Deep to the midline wound but anterior to the anterior abdominal wall musculature is a collection of fluid 12.5cm in diameter, measuring 2.5 cm at its maximal depth. Its wall is thickened and enhances. Associated fat stranding. It contains locules of gas and a further collection of gas lies between it and the wound.
Partial gastrectomy. The gallbladder fossa is normal with no mesenteric fat corruption. The remainder of the intraperitoneal space is normal with no free fluid or active inflammatory process. No intra-abdominal collection.
The collection was subsequently drained under ultrasound guidance.