Abscesses and Other Intra-Abdominal Diseases

Juliane Bingener, Melanie L. Richards, Kenneth R Sirinek

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Intra-abdominal abscess formation has two main venues: hollow viscous and solid organs. Luminal obstruction, inflammation, trauma, and anastomotic disruption can lead to hollow-organ perforation with abscess formation. Hematogenous infections, infection in continuity, and bacterial transgression are sources for solid-organ abscesses. Half of all serious intra-abdominal infections are found after surgery, but few laparotomies are followed by an intra-abdominal infection. Typical complaints are pain, tachycardia, and fever, but they may be non-specific, such as anorexia and weight loss. Severe infections can cause life-threatening fluid shifts and systemic inflammatory response syndrome. Laboratory and imaging studies are used to assess the source and severity of the infection. Cardiorespiratory support, antibiotic therapy, and source control (such as percutaneous or surgical drainage) are essential for successful treatment. Risk factors for increased mortality from intra-abdominal infections are older age, severe underlying disease, malnutrition, and inappropriate antimicrobial therapy.

Original languageEnglish (US)
Title of host publicationTextbook of Clinical Gastroenterology and Hepatology: Second Edition
PublisherWiley-Blackwell
Pages913-918
Number of pages6
ISBN (Print)1405191821, 9781405191821
DOIs
StatePublished - Apr 16 2012

Fingerprint

Abdominal Abscess
Intraabdominal Infections
Infection
Abscess
Fluid Shifts
Systemic Inflammatory Response Syndrome
Anorexia
Tachycardia
Malnutrition
Laparotomy
Weight Loss
Drainage
Fever
Therapeutics
Anti-Bacterial Agents
Inflammation
Pain
Mortality
Wounds and Injuries

Keywords

  • Abscess
  • Abscess with pancreatitis
  • Antibiotics
  • Appendicitis
  • Diverticulitis
  • Image-guided drainage
  • Liver abscess
  • Perforation
  • Postoperative infection
  • Spleen abscess
  • Surgical drainage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bingener, J., Richards, M. L., & Sirinek, K. R. (2012). Abscesses and Other Intra-Abdominal Diseases. In Textbook of Clinical Gastroenterology and Hepatology: Second Edition (pp. 913-918). Wiley-Blackwell. https://doi.org/10.1002/9781118321386.ch121

Abscesses and Other Intra-Abdominal Diseases. / Bingener, Juliane; Richards, Melanie L.; Sirinek, Kenneth R.

Textbook of Clinical Gastroenterology and Hepatology: Second Edition. Wiley-Blackwell, 2012. p. 913-918.

Research output: Chapter in Book/Report/Conference proceedingChapter

Bingener, J, Richards, ML & Sirinek, KR 2012, Abscesses and Other Intra-Abdominal Diseases. in Textbook of Clinical Gastroenterology and Hepatology: Second Edition. Wiley-Blackwell, pp. 913-918. https://doi.org/10.1002/9781118321386.ch121
Bingener J, Richards ML, Sirinek KR. Abscesses and Other Intra-Abdominal Diseases. In Textbook of Clinical Gastroenterology and Hepatology: Second Edition. Wiley-Blackwell. 2012. p. 913-918 https://doi.org/10.1002/9781118321386.ch121
Bingener, Juliane ; Richards, Melanie L. ; Sirinek, Kenneth R. / Abscesses and Other Intra-Abdominal Diseases. Textbook of Clinical Gastroenterology and Hepatology: Second Edition. Wiley-Blackwell, 2012. pp. 913-918
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