Conventional radiologic methods had given the limited informations about itraabdominal abscesses. Today,however, CT and ultrasongraphy provide detailed anatomic location, number and dimension of intraabdominal abscessand also permit percutaneous placement of catheter large enough to effect drainage. Percutaneous catheter drainageof intraabdominal abscess now offers an alternative to surgery. This simple method of mechanical drainage, whenemployed with systemic antibiotics, can be successful in treating the majority of intraabdominal abscesses.Authors analysed 24 cases of percutaneous abdominal abscess drainage performed at chonnam Natinal UniverstiyHospital from May 1985 to June 1986. The results were as follows: 1. The sites of abscesses; liver in 14cases(58.3%), psoas muscle in 3 cases(12.5%), subphrenic space in 3 cases (12.5%), pelvic cavity in 2 cases(8.3%),perirenal space in 2 cases(8.3%). 2. Complications during or after procedures were minor in the majority of cases.3. Average duration of drainage was as follows: 7.8days in liver abscess, 15.3 days in psoas abscess, 6 days inpelvic abscess, 7 days in subphrenic abscess.
Abdominal Abscess ; Abscess ; Anti-Bacterial Agents ; Catheters ; Drainage ; Jeollanam-do ; Liver ; Liver Abscess ; Methods ; Psoas Abscess ; Psoas Muscles ; Subphrenic Abscess

Endodontic failure affects the teeth and surrounding tissues. This is a case of a 62-year-old female with a chief complaint of pain and swelling occurring frequently in the upper left teeth for 6 months. The tooth was treated a year ago. Nonsurgical endodontic retreatment was carried out and observed for 4 months. The size of the lesion reduced significantly during the healing evaluation. This case report aimed to show the management of a non-surgery endodontic retreatment in periapical abscess using a rotary instrument.
Periapical Abscess

No abstract available.
HIV ; Humans ; Liver Abscess ; Liver Abscess, Amebic

Kawasaki disease (KD) causes multisystemic vasculitis but infrequently manifests with deep neck infections, such as a peritonsillar abscess, peritonsillar or deep neck cellulitis, suppurative parapharyngeal infection, or retropharyngeal abscess. As its etiology is still unknown, the diagnosis is usually made based on typical symptoms. The differential diagnosis between KD and deep neck infections is important, considering the variable head and neck manifestations of KD. There are several reports on KD patients who were initially diagnosed with retropharyngeal abscess on on computed tomography scans (CT). However, the previously reported cases did not have abscess or fluid collection on retropharyngeal aspiration. Therefore, false-positive neck CT scans have been obtained, until recently. In this case, suspected neck abscess in patients with KD unresponsive to intravenous immunoglobulin could signal the possible coexistence of suppurative cervical lymphadenitis.
Abscess ; Cellulitis ; Child ; Diagnosis, Differential ; Drainage ; Head ; Humans ; Immunoglobulins ; Lymphadenitis ; Mucocutaneous Lymph Node Syndrome ; Neck ; Peritonsillar Abscess ; Retropharyngeal Abscess ; Vasculitis

Asphyxia ; etiology ; therapy ; Humans ; Male ; Middle Aged ; Retropharyngeal Abscess ; complications ; therapy ; Subphrenic Abscess ; complications ; therapy ; Treatment Outcome

No abstract available.
Granuloma* ; Subphrenic Abscess*

157 patients with the amebic hepatic abscess diagnosed and treated in Viet Duc hospital during 1995 - 1998. The number and position of abscess focuses were identified by ultrasound. The sound intensity in the abscess focus was reduced. The abscess focus located in the right liver (80.90%), right side of the liver (50%), posterior lobe (50%) anterior lobe (30.90%), and medial lobe (4.49%). After diagnosis, 55 cases (50.32%) and 23 cases received operations (14.65%).
Ultrasonography ; Liver Abscess, Amebic ; therapeutics

The ultrasound images of the amoebic hepatic abscess during the internal treatment were studied to evaluate the disease's progress and the response to the available guideline of treatment. The ultrasound's features and the distribution of the abscess focuses in 55 patients with the amoebic hepatic abscess during the treatment (6 months - 10 years) were evaluated. The conclusion: the diagnosis should base on the ultrasound, clinical features and needle aspiration as the guidance of the ultrasound.
Ultrasonography ; Liver Abscess, Amebic ; therapeutics

Pyogenic liver abscesses are rare in children. In pediatric patients, altered host defences seem to play an important role. However, pyogenic liver abscess also occurs in healthy children. We experienced a case of pyogenic liver abscess in a healthy immunocompetent 10-year-old-girl. The patient presented two distinct abscesses: one subphrenic and the other intrahepatic. The intrahepatic abscess resolved with percutaneous drainage and 3 weeks of parenteral antibiotic therapy but the subphrenic abscess which could not be drained needed prolonged parenteral antibiotic therapy in addition to oral antibiotic therapy. We performed follow-up serial CT scan of the abscess cavity to decide on the duration of antibiotic therapy. Here we present this case with a brief review of the literature.
Abscess ; Anti-Bacterial Agents ; Child ; Drainage ; Follow-Up Studies ; Humans ; Liver Abscess ; Liver Abscess, Pyogenic ; Subphrenic Abscess

Several different diseases may have an associated exudative pleural effusion. In a patient with a pleural effusion of unknown origin, a possibility of intra-abdominal abscess should always be considered, especially in a patient who has the past history of abdominal surgery or procedure. We describe a 5-year-old male patient who had been operated for congenital hydrocephalus with ventriculo-peritoneal shunt insertion at 15 months old, admitted to our hospital with complaints of headache and edema of valvular area. Brain CT scan revealed shunt disconnection, and he was operated for insertion of new shunt catheter. Seven days after first operation, he presented fever, abdominal pain and distension. Abdominal ultrasonography revealed bowel adhesion and peritonitis. Staphylococcus epidermidis was isolated by aspiration of shunt valve and reservior, repeatedly. He should have had another 2 operations of peritoneal lavage and catheter change for shunt infection associated peritonitis. Eight days after the 3rd operation, he complained newly developed left shoulder, left chest pain and fever up to 39 degrees C. His chest x-ray revealed pleural effusion on the left side. Though antibiotic therapy was already being conducted, the left pleural effusion and fever aggravated. Repeated ultrasonography disclosed an occult left subphrenic abscess, explaining the fever and left pleural effusion on the radiograph. Fourth operation of abscess drainage and infected shunt removal with extraventricular drainage was done. After the operation, his fever and pleural effision were rapidly disappered, and postoperative CSF culture was negative. A review of ventriculoperitoneal shunt infection associated with subphrenic abscess and pleural effusion was discussed.
Abdominal Abscess ; Abdominal Pain ; Abscess ; Brain ; Catheters ; Chest Pain ; Child, Preschool ; Drainage ; Edema ; Fever ; Headache ; Humans ; Hydrocephalus ; Infant ; Male ; Peritoneal Lavage ; Peritonitis ; Pleural Effusion* ; Shoulder ; Staphylococcus epidermidis ; Subphrenic Abscess* ; Thorax ; Tomography, X-Ray Computed ; Ultrasonography ; Ventriculoperitoneal Shunt*