Intra-abdominal abscess
St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Senior's Center

Intra-abdominal abscess

Definition

An intra-abdominal abscess is a pocket of infected fluid and pus located inside the belly (abdominal cavity). There may be more than one abscess.

Alternative Names

Abscess - intra-abdominal

Causes

An intra-abdominal abscess can be caused by a ruptured appendix, ruptured intestinal diverticulum, inflammatory bowel disease, parasite infection in the intestines (Entamoeba histolytica), or other condition.

Risk factors include a history of appendicitis, diverticulitis, perforated ulcer disease, or any surgery that may have infected the abdominal cavity.

Symptoms

Depending on the location, symptoms may include:

  • Abdominal pain and distention
  • Chills
  • Diarrhea
  • Fever
  • Lack of appetite
  • Nausea
  • Rectal tenderness and fullness
  • Vomiting
  • Weakness

Exams and Tests

A complete blood count may show a higher than normal white blood count. A comprehensive metabolic panel may show liver, kidney, or blood chemistry problems.

A CT scan of the abdomen will usually reveal an intra-abdominal abscess. After the CT scan is done, a needle may be placed through the skin into the abscess cavity to confirm the diagnosis and treat the abscess.

Other tests may include:

  • Abdominal x-ray
  • Ultrasound of the abdomen

Sometimes surgery called a laparotomy may be needed to diagnose this condition.

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 treat the cause of the abscess.

Outlook (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.

Possible Complications

Complications include:

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

When to Contact a Medical Professional

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

References

Minei JP, Champine JG. Abdominal abscesses and gastrointestinal fistulas. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa:Saunders Elsevier; 2010:chap 26.

Prather C. Inflammatory and anatomic diseases of the intestine, peritoneum, mesentery, and omentum. In Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 144.



Review Date: 8/10/2012
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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. 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.
adam.com


Back  |  Top
About Us
Contact Us
History
Mission
Locations & Directions
Quality Reports
Annual Reports
Honors & Awards
Community Health Needs
Assessment

Newsroom
Services
Brain & Spine
Cancer
Heart
Maternity
Orthopedics
Pulmonary
Sleep Medicine
Urgent Care
Women's Services
All Services
Patients & Visitors
Locations & Directions
Find a Physician
Tour St. Luke's
Patient & Visitor Information
Contact Us
Payment Options
Financial Assistance
Send a Card
Mammogram Appointments
Health Tools
My Personal Health
mystlukes
Spirit of Women
Health Information & Tools
Clinical Trials
Health Risk Assessments
Employer Programs -
Passport to Wellness

Classes & Events
Classes & Events
Spirit of Women
Donate & Volunteer
Giving Opportunities
Volunteer
Physicians & Employees
For Physicians
Remote Access
Medical Residency Information
Pharmacy Residency Information
Physician CPOE Training
Careers
Careers
St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile