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

Figure 2 a and b: Pigtail catheter insertion in the right sub-phrenic space and collection of 1100cc pus. Figure 3: Post-procedure roentgenogram of chest and abdomen showing right minimal pleural effusion and right- sided pigtail catheter in situ. III. D iscussion The area between the diaphragm and the transverse colon and mesocolon is the sub- diaphragmatic zone. The liver further divides this region into suprahepatic and infrahepatic compartments. These sub-diaphragmatic abscesses can progress to pleurisy with or without effusion, empyema, lung abscess, and bronchial fistula, as well as peritonitis and mortality in rare cases. The difficulties are exacerbated as the clinical picture is frequently obscured by the causative disease and prior operational intervention. Pain, fever, malaise, cough, or pleural effusion are common symptoms in patients with thoracic or abdominal symptoms. In any patient with unexplained fever, tachycardia, or leucocytosis, the likelihood of a localized intra- abdominal pus accumulation should be considered. A perforated viscus or a distant extra-abdominal source, probably by hematogenous dissemination, might cause an abscess. Intraoperative contamination and anastomotic leakage are usually quickly disseminated throughout the peritoneal cavity, gathering in the left subphrenic area due to peritoneal fluid flow. According to Oschner and Graves' study, 31 percent of 3372 instances were caused by a ruptured appendix, and 29 percent were caused by a perforated stomach or 17 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( D ) I © 2022 Global Journals Subdiaphragmatic Abscess: Complication of Emergency Laparotomy duodenum [1]. Wetterfors discovered that 60% of his cases were related to previous surgery [7]. According to culture results, the organisms most typically found in a subdiaphragmatic abscess