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Intra-abdominal abscesses in children.

O Adejuyigbe¹, K A Ako-Nai, P A Ajayi

¹Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.

Journal of the Royal College of Surgeons of Edinburgh

|August 1, 1991

Summary

This study investigated pediatric intra-abdominal abscesses in Nigerian children, finding intraperitoneal locations most common. High mortality rates underscore the need for prompt diagnosis and treatment of these serious infections.

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Area of Science:

Pediatric Surgery
Infectious Diseases
Gastroenterology

Background:

Intra-abdominal abscesses pose significant challenges in pediatric populations.
Understanding the epidemiology and microbiology is crucial for effective management.

Purpose of the Study:

To prospectively analyze the location, etiology, microbiology, and clinical course of intra-abdominal abscesses in Nigerian children.
To identify prognostic factors influencing patient outcomes.

Main Methods:

Prospective study of 41 intra-abdominal abscesses in 30 Nigerian children over two years.
Data collection included abscess location, causative agents, and clinical outcomes.
Microbiological analysis identified aerobic and anaerobic bacteria, and fungi.

Main Results:

83% of abscesses were intraperitoneal, commonly in subphrenic and pelvic regions.
Gastrointestinal diseases were the primary cause of intraperitoneal abscesses; suppurating adenitis caused retroperitoneal ones.
Mixed aerobic and anaerobic bacteria were prevalent (53%), with a 23% mortality rate.

Conclusions:

Intra-abdominal abscesses in Nigerian children are frequently linked to gastrointestinal issues and present with high mortality.
Factors like remote organ failure and perforation indicate a poor prognosis.
Effective management requires early detection and targeted antimicrobial therapy.

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