Denote five types of intraperitoneal abscesses according to their localization?
Left subphrenic § Right subphrenic. Pelvic abscess Left subhepatic [Into lesser sac] § Right subhepatic.
Which is the most common site of intraperitoneal abscess formation?
- The pelvis – is the most common site of abscess formation, because the
- vermiform appendix often in pelvic position
- the fallopian tubes area also frequent sites of infection.
- A pelvic abscess can also occur as a sequel to any case of diffuse peritonitis and is common after anastomotic leakage following colorectal surgery.
Which are the abdominal pathognomonic signs of intraperitoneal abscesses?
- Localised guarding – Involuntary abdominal wall contraction to protect the viscus from the examining hand.
- Rebound tenderness – Involuntary constant contraction of the abdominal wall over the inflamed parietes.
- Rigidity
Which are the most characteristic patient’s complaints in pelvic abscess?
In cases of pelvic abscess the most characteristic symptoms are:
- Pelvic pain
- Diarrhoea
- Passage of mucus in stool
Which are the most characteristic physical symptoms in pelvic abscesses?
- Rectal or vaginal examination reveals Marked tenderness of the pelvic peritoneum
- Rectal examination reveals bulging of anterior rectal wall
Which method of imagine diagnosis is used as a “first choice” to establish presence and localization of intraperitoneal abscess?
- Abdominal ultrasound
Why examination of the chest and plain radiograph are important in cases of subphrenic abscesses?
- Examination of the chest and plain radiograph are important in cases of subphrenic abscess, as in the majority of cases, collapse of the lung or evidence of basal effusion or even empyema are evident