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Hakan Demir, Ahmet Çelik, Kayhan Özdemir, Ali Muhtaroğlu, Burak Kamburoğlu, Kerem Karaman, Metin Ercan, Yakup Ersel Aksoy
(Department of General Surgery, Sakarya Education and Research Hospital, Serdivan, Sakarya, Turkey)
Med Sci Case Rep 2017; 4:110-112
Primary retroperitoneal abscesses are fairly rare. In this case report, we present clinical and radiological features of primary retroperitoneal abscesses and the discuss the role of percutaneous drainage in the treatment of this unique condition.
CASE REPORT: Within the same 2-month period, 2 patients were seen in the Emergency Department with abdominal pain and tenderness, and both were evaluated with computerized tomography (CT) scan. Retroperitoneal abscess was the radiological diagnosis for these patients. Percutaneous drainage was our choice of management, with minimally invasive method. Bacterial cultures were obtained from the purulent fluids during the drainage procedure. Klebsiella spp. was isolated in one of the patient’s culture, while no microbial source could be identified in the other. After radiological detection, treatment with percutaneous drainage and antibiotic treatment significantly reduced the abscess process day by day, and complete recovery was accomplished within 8 weeks.
CONCLUSIONS: Retroperitoneal abscesses develop slowly and insidiously, which may delay clinical diagnosis. Management with adequate drainage can reduce morbidity and mortality. Percutaneous catheter drainage may allow effective management in secondary or primary abscesses.