Meskheshechny abscess

Meskheshechny abscess - a limited abscess, which is formed by the abdominal wall, intestinal loops, mesentery and omentum. It is manifested by high body temperature( hectic), pain in the abdominal cavity, intoxication, edema( sometimes), hyperemia of the abdominal anterior wall. In order to diagnose the intestinal abscess, ultrasound and computed tomography( CT), radiography of the abdominal cavity are used. It is treated promptly: laparotomy, the abscess cavity is opened and drained;Antibiotic therapy is mandatory.

In gastroenterology, interintestinal abscess is considered as a particular variant of abdominal abscess. Barrier, due to which the abscess does not spread to the upper parts of the abdominal cavity, is the mesentery of the transverse intestine. Depending on the number of formed abscesses, it is single and multiple. The causes of the formation of the disease

The causes of the development of the intestinal abscess are: acute inflammatory diseases in the abdominal cavity, intestinal obstruction, perforated ulcer of the duodenum or stomach, acute perforated appendicitis, complicated intestinal diverticulitis, cholecystitis, colon cancer, Crohn's disease. Sometimes the cause is the inconsistency of the sutures of the anastomosis and intestine. In the inter-intestinal space, the abscesses are formed as a residual phenomenon accompanying the diffuse peritonitis. If the peritoneum is glued together with the following fissures between the loops of the thick and small intestine, their mesentery and omentum form a restriction of the purulent cavity.

Symptoms of the disease

Symptoms of interintestinal abscess include: malaise, fever, broken stool, nausea, vomiting, flatulence. When examining the patient, the tension of the abdominal wall is felt, the abdomen is asymmetrical, and during palpation a fixed, painful, elastic formation is detected. When fluoroscopy is determined by the phenomenon of intestinal paresis, the level of fluid standing, in the case of contrast study - the inflammatory process pushes the loops of the intestine.

Diagnosis of the disease

Meskheshechny abscess manifests itself nonspecific, so the diagnosis is rather difficult, especially if the primary disease is unable to establish a connection. Crohn's disease, ulcers, recent surgery in the abdominal cavity, anamnesis, the presence of ulcerative colitis, and the transferred peritonitis - all this serves as the basis for suspicion of interintestinal abscess. In the peripheral blood the formula shifts to the left, the ESR accelerates, leukocytosis. When examined, tense abdominal muscles are felt, in the area of ​​the ulcer expressed tenderness, if the abscesses have contact with the abdominal cavity, then asymmetry of the abdominal cavity is observed. Determined by palpation pathological formation, motionless and painful.

Treatment of the disease

At the beginning of the intercusp abscess is treated with antibacterial drugs, detoxification therapy, regulation of the function of the gastrointestinal tract. Operative intervention is made after the delimitation: the purulent cavity is opened and drained, laparotomy. In postoperative tactics are: the replacement of tampons, aspiration of pus, intraperitoneal injection of antibiotics, washing of drains. The fight against intoxication continues, antimicrobial therapy, struggle against dehydration. If the abdominal cavity is broken abscess or develops intestinal obstruction, an emergency operation is performed. There are cases when a part of the intestine is being resected.