intra abdominal abscess

emDOCs.net – Emergency Medicine EducationIntra-abdominal Abscess – Pearls and Pitfalls - emDOCs.net - Emergency Medicine EducationAbsdominal abscess: What is causing pain in my stomach? What is an abscess? An abscess is a pocket of inflated tissue full of pus. Abcesses can form anywhere in the body (both inside and outside). They are most commonly found on the surface of the skin. An abdominal abscess is a pus pocket located in the abdomen. Abdominal abscesses may be formed near the inside of the abdominal wall, at the back of the abdomen, or around the organs of the abdomen, including the liver, pancreas, and kidneys. Abdominal abscesses may develop without apparent reason, but are usually related to another event, such as intraabdominal surgery, intestine breakup, or abdominal injury. Abdominal abscesses are caused by bacteria that usually enter the abdomen as a result of penetrating trauma, intestine breakdown or intraabdominal surgery. Intraabdominal abscesses (abscesses within the abdomen) may develop when the abdominal cavity or organ in the abdomen is compromised somehow and bacteria may enter. Such conditions include , intestinal rupture, penetrating trauma, surgery and ulcerative colitis. Depending on where the abdominal abscess is, other causes may be blamed. Abcesses can also form in the space between the abdominal cavity and the spine. These abscesses are known as retroperitoneal abscesses. The retroperitoneum refers to the space between the abdominal cavity and the spine. General symptoms of abdominal abscess include: Symptoms of an abdominal abscess may be similar to symptoms of other less severe conditions. Your doctor may perform an imaging test to perform an appropriate diagnosis. An ultrasound can be the first diagnostic tool used. Other imaging tests, such as a CT scan or an MRI, also help your doctor see abdominal organs and tissues. UltrasoundAn abdominal ultrasound uses high-frequency sound waves to create organ images in the abdomen. During the test, you will be placed on a table with your exposed abdomen. An ultrasound technician will apply a clear, water-based gel to the skin on the abdomen. Then they will wave a hand-held tool called a transducer over the abdomen. The transducer sends high-frequency sound waves that bounce body structures and organs. The waves are sent to a computer, which uses the waves to create images. Images allow your doctor to examine the organs of the abdomen closely. Computed tomography (CT) is a special X-ray that can display cross-sectional images of a specific area of the body. The CT scanner looks like a big circle with a hole in the middle, called a gantry. During the scan, you will be placed flat on a table, which is positioned on the gantry. The gantry starts to rotate around you, taking pictures of your abdomen from many angles. This gives your doctor a complete overview of the area. A CT scan can show ruptures, local abscesses, organs, abdominal growths and foreign objects in the body. Magnetic resonance imaging (MRI)An MRI uses large magnets and radio waves to create body images. The MRI machine is a long magnetic tube. During this test, you will lie in a bed that slips into the tube opening. The machine produces a magnetic field that surrounds your body and aligns water molecules in your body. This allows the machine to capture clear and transversal images of your abdomen. A magnetic resonance enables your doctor to check for abnormalities in the tissues and organs of the abdomen. Analysis of abscess fluid samples Your doctor may take a sample of abscess fluid and examine it to make a better diagnosis. The method for obtaining a sample of fluid depends on the location of the abscess. Drainage is one of the first steps to treat an abdominal abscess. Needle drainage is one of the methods used to drain pus from an abscess. During this procedure, your doctor will use a CT scan or ultrasound to insert a needle through your skin and directly into the abscess. Your doctor will then remove the piston to remove all fluid. After draining the abscess, your doctor will send a sample to the laboratory for analysis. This will help determine which antibiotics to prescribe. You will also need intravenous antibiotics to treat abdominal abscess. Some cases may require surgery. Surgery may be necessary: your doctor will give you general anesthesia to put you to sleep during surgery. During the procedure, the surgeon will make a cut in the abdomen and locate the abscess. Then they'll clean the abscess and put a drain on it so the pus can drain. The drainage will remain in place until the abscess heals. This usually takes several days or weeks. Last medical review on May 17, 2017Read this following

Select your preferred language Intraabdominal abscessWhat is an intraabdominal abscess? An intraabdominal abscess is a collection of infected pus or liquid that is surrounded by inflated tissue inside belly. It may involve any abdominal organ. Or it can be established on the folds of the intestine. What causes an intraabdominal abscess? Intraabdominal abscesses sometimes happens on another condition. An example could be appendicitis or diverticulitis. Many cases, however, occur after surgery. Abdominal abs may be caused for a bacterial infection. The most common bacteria to cause them are found in the stomach and intestines. One of them is Escherichia coli (E. coli). If it's not, the bacteria will multiply. They can cause inflammation and kill healthy tissue. Who's at risk for an intraabdominal abscess? Abdominal surgery or trauma may put You're at risk for an intraabdominal abscess. So, also, it can health problems like diabetes or inflammatory bowel disease. What are the symptoms of an intraabdominal abscess? If you've had surgery recently or trauma to an abdominal organ and other risk factors such as diabetes or Inflammatory bowel disease, see signs of an intraabdominal abscess. Common symptoms are: How is intraabdominal abscess diagnosed? If you have symptoms of a Intraabdominal abscess, your healthcare provider may order these tests: How is an intraabdominal abscess treated? Antibiotics can help treat a infection that could lead to an intraabdominal abscess. But once the abscess has developed, antibiotics don't work too. An abscess will often have to be drained liquid to heal. But antibiotics are often given along with draining abscess. The guy. of antibiotic will depend on the severity of your abscess, your age and any other health problems he may have. One way to remove the liquid is through percutaneous drainage. Your healthcare provider guides a needle through the skin to the where the infection is. It's a short procedure. They'll give you a sedative. and a local anesthesia to help you relax and not feel pain while being done. Another way to drain abscess is with surgery. Surgery may also involve fixing the condition that caused abscess in the first place, like an intestine drill. Sometimes more than one operation is necessary. Many times, a drain catheter is left in the abscess cavity after it drains. Your health care team will check it out and Remove it when necessary. Your result will depend on causes his infection and how quickly he sought treatment. The right early treatment can greatly improve the result for people who have intraabdominal abscesses. While you are being treated by a abscess, you may need nutritional support. This can be done by placing a power supply tube. When should I call my healthcare provider? If you've had surgery recently or trauma to an abdominal organ and other risk factors such as diabetes or Inflammatory bowel disease, call your health care provider right away if you have: Key points about an intraabdominal abscess Next steps Tips to help you get the most out of a visit to your healthcare provider: Cedars-Sinai has a range of comprehensive treatment options. Choose a doctor and schedule an appointment. Need help?(1-800-233-2771) Available 24 hours a day (1-800-233-2771) Choose a doctor and schedule an appointment. © 2021 Cedars-Sinai. All Rights Reserved. A 501(c)(3) non-profit organization

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