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

were Staphylococcus, Streptococcus, E. coli, B. Proteus, and pseudomonas. The relevance of radiological diagnostics in verifying and localizing the Subdiaphragmatic abscess is crucial. Few indications highly suggestive of a subphrenic collection include loss of diaphragmatic mobility and elevation of the diaphragm, pleural effusion, loss of posterior costophrenic angle in lateral view, gas or fluid beneath diaphragm, and enlargement of liver shadow. The treatment technique for each patient must be determined based on the severity and origin of the subdiaphragmatic abscess. A single sufficient drainage using an extraserous technique may be all that is required in individuals with a single, accessible, well- localized abscess [8]. Sherman et al. (1969) found a 23 percent mortality rate in patients with drainage and an 80 percent mortality rate in those without drainage [9]. If the aspiration is done low down, with the needle pointing up towards the subphrenic spaces, the lung will not be damaged. When the diaphragm is raised, it adheres to the chest wall, allowing aspiration to be conducted safely without concern of injuring the lung or contaminating the pleura. For individuals with numerous abscesses, a transperitoneal technique should be used. An upper paramedian or a subcostal incision can be used to execute this procedure. The key to efficient care of a Subphrenic abscess is early detection and appropriate drainage under the influence of antibiotics. IV. C onclusion We experienced a case of sub-diaphragmatic abscess associated with a post-operative perforated duodenal ulcer that was cured by percutaneous drainage. Since the advent of antibiotics, spontaneous subphrenic abscess has become less prevalent, but post-surgical occurence has become more common. Declarations Funding: No Funding sources Conflict of interest: None declared Ethical approval: Not required R eferences R éférences R eferencias 1. Ochsner A, Graves AM. Subphrenic abscess: an analysis of 3,372 collected and personal cases. Ann Surg. 1933; 98(6): 961–90. 2. Minei JP. Abdominal abscesses and gastrointestinal fistulas. Gastroin-testinal and liver disease: patho- physiology/diagnosis/management. 2002: 431–37. 3. Christian MN. Rupture of a subphrenic abscess into the pericardium. Ann Surg. 1945; 129: 148–51. 4. T. Hau, J.R. Haaga and M.I. Aeder, Pathophysiology, diagnosis, and treatment of abdominal abscesses, Current Problems in Surgery, 10.1016/0011-3840(84)90021-2, 21, 7, (8-82), (1984). 5. Beye H.L. The thoracic complications of subdiaphragmatic infection. J. Thoracic Surg. 1932; 1: 655-662. 6. CT differentiation of subphrenic abscess and pleural effusion, ES Alexander, AV Proto and RA clark, American Journal of Roentgenology. 1983; 140: 47- 51. 10.2214. 7. Wetterfors, J. Subphrenic abscess: clinical study of 101 cases. Acta chir. Scandinav., 1959, 117, 388-408. 8. Deck,K. B, and Berne,T. V. (1979). Selective management of subphrenic abscess. Arch. Surg. 114, 1165-1168. 9. Shermann,. J., Davis, J.R. and Jesseph, J.E. (1969). Subphrenic abscess: A continuing hazard. Amer. J. Surg. 117, 117-122. 18 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( DD ) I © 2022 Global Journals Subdiaphragmatic Abscess: Complication of Emergency Laparotomy