Global Journal of Medical Research, I: Surgeries and Cardiovascular System, Volume 22 Issue 2

© 2022. Dr. Abhijeet Dilip Kharche, Dr. Sriranjani Iyer & Dr. Saileshwar Natarajan. This research/review article is distributed under the terms of the Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You must give appropriate credit to authors and reference this article if parts of the article are reproduced in any manner. Applicable licensing terms are at https://creativecommons.org/licenses/by-nc-nd/4.0/. Subdiaphragmatic Abscess: Complication of Emergency Laparotomy By Dr. Abhijeet Dilip Kharche, Dr. Sriranjani Iyer & Dr. Saileshwar Natarajan Abstract- Intra-abdominal abscesses usually occur following any intra-abdominal surgery, trauma, Gastrointestinal infection or intestinal perforation. In particular, the diagnosis of sub- phrenic collection can be notoriously difficult. This fact is expressed by the well-known aphorism: 'Pus somewhere, pus nowhere else, pus under the diaphragm'. Sub-diaphragmatic abscesses form between the diaphragm and abdominal organs, such as the liver and spleen. Depending on the severity of the sub-diaphragmatic abscess and the cause, treatment method may vary for each case. The abscess may be treated with early percutaneous drainage and empiric intravenous antibiotics. When dealing with post-operative persistent pyrexia that does not react to antibiotics, surgeons must always be careful, and the likelihood of a sub-diaphragmatic abscess must always be considered. If not treated, thoracic and abdominal complications may prevail, in rare cases, death.We present a case of sub-diaphragmatic abscess in a patient with a perforated duodenal ulcer treated by ultrasound-guided percutaneous drainage with a good outcome. Keywords: sub-phrenic, abscess, drainage, post-operative. GJMR-I Classification: LCC Code: AC4 SubdiaphragmaticAbscessComplicationofEmergencyLaparotomy Strictly as per the compliance and regulations of: Global Journal of Medical Research: I Surgeries and Cardiovascular System Volume 22 Issue 2 Version 1.0 Year 2022 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Online ISSN: 2249-4618 & Print ISSN: 0975-5888