Minimally invasive video-assisted trans-diaphragmatic drainage of a subphrenic complicated abscess

Ulus Travma Acil Cerrahi Derg. 2024 Sep;30(9):698-700. doi: 10.14744/tjtes.2024.69547.

Abstract

Intra-abdominal abscesses usually originate from the gastrointestinal tract, with 70% occurring in the postoperative period. The mortality rate can reach 50%. These abscesses most commonly develop in the subphrenic and subhepatic spaces. Treatments include percutaneous drainage or surgical drainage. In this report, we present a minimally invasive video-assisted trans-diaphragmatic drainage (MIVTD) method through a simple incision using a right intercostal approach. This method was successfully performed on a patient who underwent Graham patch repair with laparotomy due to a diagnosis of peptic ulcer perforation and subsequently developed a right subphrenic multiloculated collection after unsuccessful percutaneous drainage.

Publication types

  • Case Reports

MeSH terms

  • Drainage* / methods
  • Humans
  • Male
  • Middle Aged
  • Subphrenic Abscess / surgery
  • Thoracic Surgery, Video-Assisted / methods
  • Video-Assisted Surgery / methods