摘要: A remarkable change in the epidemiology of subphrenic and subhepatic abscesses has occurred over last several decades. In past, most common causes included perforations anterior gastric or duodenal ulcers rupture a gangrenous appendix. Today, 60–71% such are postoperative particulary frequent following biliary tract operations colonic surgery.7,36,37 Many cases secondary to anastomotic leaks.34 More prompt diagnosis currently conditions as peptic ulcer appendicitis, leading earlier surgical intervention, results an increasing proportion abscesses. The bacterial flora generally consists multiple strains aerobic anaerobic organisms. aerobes include particularly E. coli, Streptococcus, Klebsiella Proteus; anaerobes Bacteroides cocci.36