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[Pleuropulmonary diffusion in some subdiaphragmatic suppurations].

P Georgescu, D Civică, C Burdescu

    Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
    |July 1, 1975
    PubMed
    Summary
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    This study details two cases of subphrenic infections, specifically a right perinephretic phlegmon and a suppurated hepatic hydatid cyst, which formed fistulae into the lung and pleura. Diagnostic challenges and treatment strategies for these rare presentations are explored.

    Area of Science:

    • Gastroenterology
    • Pulmonology
    • Infectious Diseases

    Background:

    • Subphrenic abscesses are collections of pus beneath the diaphragm.
    • Hepatic hydatid cysts can become infected and lead to complications.
    • Fistula formation from subphrenic infections to the pleura or lung is uncommon.

    Observation:

    • Two patients presented with subphrenic suppurations: a right perinephretic phlegmon and a suppurated hepatic hydatid cyst.
    • Both cases resulted in the development of fistulae connecting the subphrenic space to the lung and/or pleura.
    • The clinical course, diagnostic hurdles, and management approaches were analyzed.

    Findings:

    • The evolution of these rare fistulizing subphrenic infections presented significant diagnostic challenges.

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  • Successful treatment involved a combination of antimicrobial therapy and surgical intervention tailored to each case.
  • Early recognition and multidisciplinary management are crucial for favorable outcomes.

    • Implications:

    • These cases highlight the importance of considering unusual presentations of subphrenic infections.
    • Understanding the diagnostic difficulties can improve patient outcomes in similar rare conditions.
    • This study contributes to the literature on managing complex fistulizing subphrenic abscesses and infected cysts.