Intestinal abscess

Surgical diseases

An abscess between the bowels is located between the loops of the intestine, the mesentery, the abdominal wall and the omentum. Mesentery of the transverse colon is a barrier to the spread of the abscess on the upper floor of the abdominal cavity. Meskheshechnye abscesses are often multiple. The exact location and size of the abscess is determined by ultrasound and computer X-ray tomography.

Often, the interintestinal abscess is combined with a pelvic abscess. The diagnosis is usually difficult. Suspect the development of an intestinal abscess is possible in a patient who has undergone peritonitis with incomplete recovery, with a relapse of symptoms of purulent intoxication of the body. The examination determines the tension of the abdominal muscles and severe tenderness in the area of ​​the abscess, in some cases - the asymmetry of the abdominal wall (especially with abscesses that have contact with the abdominal wall). When palpation can be determined pathological formation, moderately painful and immobile. With a review of fluoroscopy of the abdominal cavity, the level of fluid, the phenomenon of intestinal paresis, the displacement of the intestinal loops in contrast research.

Treatment operative - opening and draining of abscess. Prior to the operation, premedication with antibiotics and metronidazole is mandatory. Access depends on the location and number of ulcers. With multiple abscesses, it is necessary to open the abdominal cavity widely.

The prognosis for solitary ulcers is usually favorable.

Complications: sepsis, a breakthrough of the abscess into the free abdominal cavity with the development of peritonitis.