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Intra-abdominal abscess - Treatment

Alternative Names

Abscess - intra-abdominal

Treatment:

Treatment of an intra-abdominal abscess requires antibiotics (given by an IV) and drainage. Drainage involves placing a needle through the skin in the abscess, usually under x-ray guidance. The drain is then left in place for days or weeks until the abscess goes away.

Occasionally, abscesses cannot be safely drained this way. In such cases, surgery must be done while the patient is under general anesthesia (unconscious and pain-free). A cut is made in the belly area (abdomen), and the abscess is drained and cleaned. A drain is left in the abscess cavity, and remains in place until the infection goes away.

It is always important to identify and treated the cause of the abscess.

Expectations (prognosis):

The outlook depends on the original cause of the abscess and how bad the infection is. Generally, drainage is successful in treating intra-abdominal abscesses that have not spread.

Complications:

Complications include:

  • Return of the abscess
  • Rupture of an abscess
  • Spread of the infection to the bloodstream
  • Widespread infection

Calling your health care provider:

Call your doctor if you have severe abdominal pain, fevers, nausea, vomiting, or changes in bowel habits.

  • Reviewed last on: 7/17/2008
  • Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Fry RD, Mahmoud N, Maron J, Ross HM, Rombeau J. Colon and Rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap.50.

Marrero F, Qadeer MA, Lashner BA. Severe complications of inflammatory bowel disease. Med Clin North Am. May 2008; 92(3): 671-86, ix.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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