Video-Assisted Abscess Cavity Debridement after Failed Percutaneous Drainage: A Case Report

Authors

  • Pissanu Pana Phonthong hospital

Keywords:

Persisting intra-abdominal abscess, video-assisted abscess cavity debridement

Abstract

            A viscous intra-abdominal abscess is challenging to drain by percutaneous drainage (PCD); however, open drainage might be prohibited, especially in a high surgical risk patient. An optional procedure was described in this case report. A 63-year-old Thai female presented with left side abdominal pain with sepsis and multi-organ failure. Computed tomography (CT) scan revealed a large intra-abdominal abscess, sized 33 cm in the largest diameter. PCD was performed by a 12-Fr pigtail catheter, which was later replaced with a 28-Fr tube drain due to drain obstruction from thick content. Unfortunately, her symptoms worsened. Re-evaluation with CT scan demonstrated persisting intra-abdominal abscess, measured 10.1x8.4x28.9 cm. After surgical and anesthetic risks were discussed, video-assisted drainage and debridement were performed with technical success. In addition, the abscess wall was biopsied for pathological examination. She recovered and was discharged uneventfully. 

 

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Published

2021-12-02

How to Cite

Pana, P. (2021). Video-Assisted Abscess Cavity Debridement after Failed Percutaneous Drainage: A Case Report. Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King, 6(3), 123–130. Retrieved from https://he02.tci-thaijo.org/index.php/agstjournal/article/view/253962