How is a subphrenic abscess diagnosed?
A subphrenic abscess is not a rare cause of unilateral elevation of the diaphragm following abdominal surgery. It is usually accompanied by pleural effusion. Chest radiographs alone may confirm the diagnosis when localized collections of air are demonstrated below the diaphragm (see Fig.
How is a subphrenic abscess treated?
Treatment / Management
Management of subphrenic abscess includes antibiotics, drainage of the abscess, and general care of the patient. The duration of antibiotics depends on the etiology and extent of the source control.
How do you drain a subphrenic abscess?
The current standard treatment strategy for intra-abdominal abscess is percutaneous imaging-guided drainage. However, in cases of subphrenic abscess, it is important to avoid passing the drainage route through the thoracic cavity, as this can lead to respiratory complications.
What is Subdiaphragmatic abscess?
A subdiaphragmatic abscess is an infectious process characterized as a collection of purulent fluid between the diaphragm and the liver or spleen.
Why are subphrenic abscesses more common on the right side?
The right side is more common due to the high frequency of ruptured appendices and perforated duodenal ulcers.
What is the clinical significance of subphrenic recess?
Clinical significance
Both the right and left subphrenic spaces have been known to be sites of fluid accumulation during pathological or postoperative processes. After a right abdominal infection, it is not uncommon for fluid to accumulate in the right subphrenic space.
Where is subphrenic space located?
Description. The subphrenic space is a peritoneal space between the anterior part of the liver and the diaphragm, separated into right and left by the falciform ligament, and postero-superiorly bounded by the coronary ligament.
What does Subdiaphragmatic mean?
Medical Definition of subdiaphragmatic
: situated, occurring, or performed below the diaphragm a subdiaphragmatic abscess subdiaphragmatic vagotomy.
Which incision is made in subphrenic abscess?
Two common approaches to draining a subphrenic abscess are 1) incision inferior to or through the bed of the 12th rib (no need to create an opening in the pleura or peritoneum) 2) an anterior subphrenic abscess is often drained through a subcostal incision located inferior and parallel to the right costal margin.
Where is the subphrenic space located?
The subphrenic space is a peritoneal space between the anterior part of the liver and the diaphragm, separated into right and left by the falciform ligament, and postero-superiorly bounded by the coronary ligament.
What is Morrison and Douglas pouch?
Morison’s pouch is an area between your liver and your right kidney. It’s also called the hepatorenal recess or right subhepatic space. Morison’s pouch is a potential space that can open up when fluid or blood enters the area.
What does subphrenic mean?
Medical Definition of subphrenic
: situated or occurring below the diaphragm a subphrenic abscess.
What is subphrenic structure?
Anatomical Parts
The subphrenic space is a peritoneal space between the anterior part of the liver and the diaphragm, separated into right and left by the falciform ligament, and postero-superiorly bounded by the coronary ligament.
What is Supradiaphragmatic?
Medical Definition of supradiaphragmatic
: situated or performed from above the diaphragm supradiaphragmatic vagotomy.
Where is the Subdiaphragmatic area?
The right subphrenic space (a.k.a. right anterior space, right subdiaphragmatic space) is a potential space that lies between the right lobe of the liver and the inferior surface of the diaphragm.
What is Morsion and Douglas pouch?
Morison’s pouch is an area between your liver and your right kidney. It’s also called the hepatorenal recess or right subhepatic space. Morison’s pouch is a potential space that can open up when fluid or blood enters the area. When these aren’t present, there’s no space between your liver and right kidney.
Why is it called Morison’s pouch?
Morison’s pouch is the eponym for the hepato-renal space, named for British surgeon James R. Morison (1853 – 1939). Morison’s Pouch is primarily a potential space, meaning that in the state of normal function, there is no separation between the capsules of the liver and the right kidney.
What is Infradiaphragmatic?
Medical Definition of infradiaphragmatic
: situated, occurring, or performed below the diaphragm infradiaphragmatic vagotomy an infradiaphragmatic abscess.
What is Supradiaphragmatic lymph nodes?
We defined supradiaphragmatic adenopathy as nodes measuring greater than 5 mm on the largest of 2 perpendicular measurements on the CT scan.
What is Chilaiditi syndrome?
Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located (interposed) in between the liver and the diaphragm. The diaphragm is the muscle that separates the chest cavity from the abdomen.
Where is Morrison’s pouch located?
What is Morrison pouch?
What is Douglas pouch?
The pouch of Douglas (cul-de-sac) represents the caudal extension of the peritoneal cavity. It is the rectovaginal pouch in the female and the rectovesical pouch in the male. The cul-de-sac is in a dependent position when either upright or supine; it is, therefore, a frequent location for seeded lesions.
What is the function of mediastinal lymph nodes?
The mediastinal nodes are a group of lymph nodes located in the thoracic cavity of the body. These nodes play an important role in the filtration of lymph before it is returned to circulatory system.
What is a pneumoperitoneum?
Pneumoperitoneum is the presence of air or gas in the abdominal (peritoneal) cavity. It is usually detected on x-ray, but small amounts of free peritoneal air may be missed and are often detected on computerized tomography (CT).