Management and outcome of retroperitoneal abscesses.

摘要: Retroperitoneal space abscesses are unusual clinical problems encountered by general surgeons, internists, and surgical subspecialists. An insidious, occult illness marked diagnostic delay, inadequate drainage, considerable morbidity mortality is common. Anatomic reviews detailing the complex extraperitoneal spaces have been published, but less attention has focused on drainage techniques useful to practicing surgeon. In a retrospective review of 50 abscesses, was directed presentation, diagnosis, therapy. On average, 12.7 days were required establish diagnosis; 50% patients suffered major complications. A strikingly high associated with positive blood cultures persistent fever within 48 hours (75% 71%, respectively). Computed tomography greatly enhanced diagnosis radiologic in selected cases appears be initial approach. simplified anatomic classification treatment plan proposed facilitate comparison between series.