Drainage of Subphrenic Abscess

  • Jameson L. Chassin


Although subphrenic abscesses may arise from primary infections of the biliary tract, the appendix, or the colon, in the great majority of cases subphrenic sepsis follows a previous abdominal operation. In De-Cosse, Poulin, Fox, and Condon’s study of 52 patients in whom subphrenic sepsis followed previous surgery, 22 of them developed abscesses subsequent to operations on the stomach and 11 of them, abscesses after biliary tract surgery. Other causes of subphrenic abscesses included surgery for trauma in 7 patients and colon operations in another 7 cases. These authors felt that postoperative bleeding was a common contributing cause in their series of subphrenic abscesses, many of which were, in fact, infected hematomas. Inadvertent splenectomy was another postoperative complication associated with left-sided subphrenic sepsis following gastric surgery.


Abscess Cavity Abdominal Abscess Transversalis Fascia Percutaneous Catheter Drainage Subphrenic Abscess 
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Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

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