Abscess interintestinal – an abscess of the abdominal cavity, localized between the intestinal loops, the mesentery, the abdominal wall and the omentum. Not often inter-intestinal abscess is combined with a pelvic abscess.
The reasons
Interintestinal abscesses, as a rule, are formed as a result of diffuse peritonitis.
Symptoms
Dull pain in the abdomen of indistinct localization, bloating, malaise, hectic temperature curve. Only with abscesses located close to the anterior abdominal wall, local symptoms appear – muscle tension of the anterior abdominal wall, in some cases – asymmetry of the abdomen, severe pain. On palpation, a pathological formation can be determined, moderately painful and motionless.
Diagnosis
Diagnosis is difficult. It is possible to suspect the development of an interintestinal abscess in a patient who has had peritonitis, with a recurrent intoxication syndrome. X-ray examination of the abdominal organs – the level of fluid, the phenomena of intestinal paresis, the displacement of intestinal loops during a contrast study. Ultrasound and CG.
Treatment
Surgical treatment – opening and drainage of the abscess cavity. Before the operation, the introduction of antibiotics and metronidazole is mandatory. Access depends on the location and number of abscesses (traditionally, laparotomy).