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[Pleural empyema and ruptured subdiaphragmatic abscess]
A Manenti1, G Gibertini, A Buttazzi
1Chaire de Pathologie Chirurgicale de l'Université de Modène, Italie.
Revue Des Maladies Respiratoires
|January 1, 1991
Abstract:
The authors report a case of a ruptured right subphrenic abscess causing a diffuse peritonitis complicating a chronic empyema. The authors recommend active treatment of purulent pleurisies, particularly when they are associated with a bronchopleural fistula.
Insights
A ruptured subphrenic abscess led to diffuse peritonitis in a patient with chronic empyema. Prompt treatment of purulent pleurisies, especially with bronchopleural fistula, is crucial.
Area of Science:
- Thoracic Surgery
- Abdominal Surgery
- Infectious Diseases
Background:
- Chronic empyema can lead to serious complications.
- Subphrenic abscesses pose significant diagnostic and management challenges.
- The association between pleural and subphrenic infections requires careful consideration.
Observation:
- A case of a ruptured right subphrenic abscess is presented.
- The abscess complicated a pre-existing chronic empyema.
- This rupture resulted in diffuse peritonitis.
Findings:
- Ruptured subphrenic abscess can cause widespread peritoneal inflammation.
- Chronic empyema with a subphrenic abscess is a severe clinical scenario.
- Bronchopleural fistula may be associated with such complex infections.
Implications:
- Early and aggressive management of purulent pleurisies is essential.
- Surgical intervention is often necessary for complicated empyema and abscesses.
- Vigilance for associated subphrenic pathology is critical in managing chronic pleural infections.