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Abdominal Wall Sinus and Recurrent Abscess Formation Due to a Foreign Body Following Surgical Intervention
Edilson Araujo Sabino1, Guilherme Pasquini Cavassin1, Juliano Xavier Santos2
1General Surgery, Complexo Hospitalar do Trabalhador, Curitiba, BRA.
Cureus
|December 19, 2023
Summary
Sinus tracts are rare after abdominal surgery, often caused by foreign bodies like sutures. Excision and antibiotics effectively treat these abdominal wall infections, preventing recurrence.
Area of Science:
- Abdominal Surgery
- Infectious Diseases
- Surgical Pathology
Background:
- Sinus tracts are rare post-abdominal surgery complications.
- Pathophysiology involves adipose tissue liquefaction, infection, and foreign bodies.
- Inadequate drainage can lead to chronic abdominal wall infections (sinus).
Observation:
- A 65-year-old female with prior abdominal surgeries presented with recurrent suprapubic pain and discharge.
- Examination revealed a fistulous tract in the right iliac fossa.
- The patient had a history of similar episodes.
Findings:
- Surgical intervention included tract excision, identification of cotton suture foreign bodies, and antibiotic therapy.
- Postoperative foreign bodies, such as sutures, are implicated in recurrent infections.
- Imaging studies aid diagnosis, and surgical thread type impacts complications.
Implications:
- Effective treatment involves drainage and excision of the sinus tract.
- Careful selection of surgical materials and precise imaging are crucial.
- A multidisciplinary approach is vital for managing abdominal wall sinus tracts and improving patient outcomes.
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