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Ulus Travma Acil Cerrahi Derg · Sep 2024
Case ReportsMinimally invasive video-assisted trans-diaphragmatic drainage of a subphrenic complicated abscess.
- Sabahattin Destek, Osman Cemil Akdemir, Ceren Gonultas, and Vahit Onur Gul.
- Department of Gastroentorology, Bezmiâlem Vakif University Medical Faculty Hospital, İstanbul-Türkiye.
- Ulus Travma Acil Cerrahi Derg. 2024 Sep 1; 30 (9): 698700698-700.
AbstractIntra-abdominal abscesses usually originate from the gastrointestinal tract, with 70% occurring in the postoperative period. The mortality rate can reach 50%. These abscesses most commonly develop in the subphrenic and subhepatic spaces. Treatments include percutaneous drainage or surgical drainage. In this report, we present a minimally invasive video-assisted trans-diaphragmatic drainage (MIVTD) method through a simple incision using a right intercostal approach. This method was successfully performed on a patient who underwent Graham patch repair with laparotomy due to a diagnosis of peptic ulcer perforation and subsequently developed a right subphrenic multiloculated collection after unsuccessful percutaneous drainage.
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