Surface ([cm.sup.2]) Visceral Parietal Sub-Space Media [+ or -] ES Media [+ or -] ES Post Greater Omentum 7401.82 640.9 365.99 36.8 Pre Greater Omentum 984.71 82.61 652.34 52.94 Right Subphrenic 538.93 42.94 539.4 36.33 Left Subhepatic
727.65 43.05 281.36 21.38 Left Subphrenic 346.83 29.39 481.76 40.54 Right Subhepatic
306.53 24.5 484.16 22.16 Lesser Space 704.51 37.47 76.35 15.41 Or Cavity 327.02 38.32 104.28 12.57 Total 11337.99 781.14 2985.63 115.8 Surface ([cm.sup.2]) Total Sub-Space Media [+ or -] ES Post Greater Omentum 7767.81 646,70 Pre Greater Omentum 1637.05 110,24 Right Subphrenic 1078.33 68,85 Left Subhepatic
1009.01 51,20 Left Subphrenic 828.59 48,22 Right Subhepatic
790.69 37,92 Lesser Space 780.86 48,90 Or Cavity 431.3 41,62 Total 14323.62 825,41
The four patients that were readmitted to the hospital suffered different complications, as follows: one patient was readmitted on postoperative day 12 for subhepatic
hematoma; the symptoms regressed after intravenous antibiotic therapy and no surgical procedure was required; one patient was admitted on postoperative day 9 for suspected choledocholithiasis; further tests showed no signs of gallstones in the common bile duct; and two patients were readmitted for signs of pancreatitis (on postoperative day 9 and 14) but no further surgical intervention was needed.
appendicitis with subdiaphragmatic abscess in a pediatric patient without intestinal malrotation: case report," Cir Cir, vol.
There was gangrenous changes of the caecum and right colon with its anterior wall showing multiple ischemic areas and necrosis; some of them are perforated with gross picture of ischemic changes, others thinned out and were about to perforate in subhepatic
area; right hemicolectomy and iliostomy were performed till the area of normal color of the colon was reached (see Figures 1(c) and 1(d)).
suction drains were placed in all the patients.
Regarding the postoperative morbidity and complications, 1 patient had intra-abdominal subhepatic
abscess which was managed conservatively.
There was hematoma in retroperitoneal region originating from subhepatic
area, reaching to right iliac fossa and Douglas pouch.
The mass extended from the subhepatic
region to the level of the right iliac vessels, and its longer axis was 28 cm (Figure 2).
A plain abdominal X-ray showed an abnormal gas shadow in the right subhepatic
space, and a segment of gaseous distended colon, which was located on the right side of the abdominal cavity; this was interposed between the liver and the right diaphragm (Figure 1).
Bile leakage was detected after the surgery, and the subhepatic
suction drained biliary fluid until it stopped spontaneously on postoperative day 18.
An urgent ultrasound abdomen was arranged, which revealed a heterogeneous collection in the subhepatic
region and multiple enlarged mesenteric lymph nodes.
Abdominal ultrasonography directed to the abdominal mass was performed and nested bowel loops were observed starting from the right lower quadrant and extending to the subhepatic
region and splenic flexura (Figure 2).