Extraperitoneal abscess originating from an ischorectal abscess.
We describe a case which had ongoing sepsis, despite adequate incision and drainage performed for an ischorectal abscess. The patient was then noted to have an ascending infection reaching the extraperitoneal space of the abdominal cavity. The case reported required multiple episodes of drainage along with lower midline incision for deep-situated abscess. Postoperatively, the abdominal wound was treated with vacuum-assisted closure dressing and antibiotics. The patient was doing well and was discharged with an appointment at the surgical outpatient department. The report signifies the importance of investigating patients who have systemic inflammatory response syndrome despite treating local abscess.
Department of General Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
Eman
E
Hamza
Department of General Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
Mirza Faraz
MF
Saeed
Department of General Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
Amro
A
Salem
Department of General Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
Isam
I
Mazin
D000005:Abdomen; D000038:Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation / Q000379:methods; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology / Q000628:therapy; D012007:Rectum; D012086:Reoperation; D018805:Sepsis