A thorax computed tomography (CT) scan showed a large abscess cavity
in the mediastinum (Figure 1a).
Time for 50% Decrease in The Size of Abscess Cavity
The PCD was done by the introduction of a 12 Fr pigtail catheter in the abscess cavity
under ultrasound guidance utilizing the Seldinger technique. The patient underwent ultrasound of the abdomen, and the features of the abscess cavity
Transthoracic Echocardiogram showed a multiloculated para aortic abscess cavity
communicating with the MPA.
Once the pus has been aspirated, the abscess cavity
should be irrigated with approximately 50 mL of 1% lidocaine and adrenaline (or serum physiologic solution) (5).
In the examination with an anoscop, no internal orifice was seen in the rectum after saline-diluted hydrogene peroxide solution was given to the abscess cavity
. The first drainage incision was extended to the superiolateral direction where necrosis progressed.
The presence of yeast in the abscess cavity
required a median of 15 days (3-40 days) of catheterization whereas absence of yeast required a median of 7 days (3-45 days) of catheterization (P = 0.007).
Adhesions of the right upper lobe to the mediastinal pleura at the level of the azygocaval junction were bluntly mobilized and the abscess cavity
Furthermore, the incised retropharyngeal abscess cavity
was connected by a small fistula to a second cervical abscess, medial to the sternocleidomastoid muscle.
Attention should be taken to ensuring the side holes of catheter were placed within the abscess cavity
. In this way, we avoid secondary liver infection.
PCD has been shown to be more effective than PNA in terms of success rate, clinical improvement, and time to achieve 50% reduction in abscess cavity
As there was no clinical improvement after 48 hours, a second incision and drainage was performed under general anaesthetic, revealing a large abscess cavity
extending 10 cm into the right breast and 7 cm into the left mastectomy scar.