Management of Complicated Intra-abdominal Infection - Two Cases

doi:2012.2.2.71

J Acute Care Surg > Volume 2(2); 2012 > Article

Case Report

Journal of Surgical Critical Care 2012;2(2):71-74.
DOI: https://doi.org/10.17479/jacs.2012.2.2.71 Published online October 30, 2012.

Management of Complicated Intra-abdominal Infection - Two Cases

복잡성 복강내 감염의 치료 - 증례 2예

장지영ㆍ심홍진ㆍ이재길

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea

Abstract

Compared to uncomplicated intra-abdominal infection (IAI), complicated IAI extend beyond the source organ and into the peritoneal cavity through the perforated bowel. Most of intra-abdominal infection encountered in the surgical field is secondary or tertiary peritonitis. In this article authors report management experiences of unusual two cases about complicated IAI; the first case is abdominal wall abscess accompanied by perforation of ascending colon perforation from traumatic mesentery injury, and the second case is about liver abscess followed by pleural empyema. In the first case, abdominal wall abscess was drained by ultrasonography-guided incision and drainage, and negative pressure wound therapy (NPWT) was applied on the soft tissue defect site. In the second case, right pleural empyema was formed after percutaneous liver abscess drainage, and thoracoscopy-assisted pleural decortications and drainage of pleural effusion were performed. For the treatment of complicated IAI, source control is the most important and proper empirical antibiotic and susceptible therapeutic antibiotics are also needed. (J Surg Crit Care 2012;2:71-74)

Key Words: Complicated, Intra-abdominal infection, Abdominal wall abscess, Liver abscess, Empyema