Subphrenic abscess

Case contributed by Dr Vitalii Rogalskyi

Presentation

Fever and abdominal pain a week after laparoscopic cholecystectomy.

Patient Data

Age: 70 years
Gender: Male
CT

CT abdomen

CT of the abdomen demonstrates right subphrenic (between diaphragm and liver surface) encapsulated fluid collection with fluid/gas level which is consistent with abscess. It caused unilateral elevation of hemidiaphragm.

Liver is unremarkable.

Small postoperative changes in the epigastrium.

Right pleural effusion and tiny pericardial effusion noted.

Case Discussion

This subphrenic abscess was drained. Culture of Eschericia coli was grown.

Subphrenic abscess frequently develops after surgical operations like in this case after cholecystectomy.

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Case information

rID: 66300
Published: 24th Feb 2019
Last edited: 14th Aug 2019
Tag: abscess
Inclusion in quiz mode: Included

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