Subphrenic Abscess

Abstract

Purulent or infected fluid collection in the gap between diaphragm and liver or spleen is called as subphrenic abscess. Intraperitoneal perforations such as duodenal ulcer, diverticulitis, appendicitis, amoebic liver abscess are common reasons of this pathology. Other reasons in the etiology are surgical interventions, critical diseases and abdominal traumas. In about half of the cases, subphrenic abscess is seen on the right side, while 1/4 in the left side and 1/4 simultaneous bilateral. Main symptoms of subphrenic abscess pathology are fever, chills and abdominal pain on the side of the abscess. Also cough and respiratory distress may seen. In the treatment of subphrenic abscesses; draining the abscess and using appropriate antibiotics are needed. In general, the rate of cure for the subphrenic collections is between 79 and 85%. Empyema and sepsis complications are seen with a incidence of 2%. Subphrenic abscesses continue to be associated with high mortality, despite wide spectrum antibiotics and surgical techniques. Overall mortality rate is 31%.