Intra-Abdominal abscess post-resection surgery

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aronk
Regular Member


Date Joined Jun 2006
Total Posts : 229
   Posted 7/26/2009 1:58 PM (GMT -7)   
So, I developed an abscess following my small bowel resection on June 18.  I've been on two treatments of Levaquin and Flagyl and that's been in addition to the IV broad-spectrum antiobiotics I was given in the hospital.  I see the surgeon again tomorrow and I know the abscess is still there, because I still have pain in that area.   I've had a Percutaneous Ct-guided drainage procedure, but Radiology did not leave a drain in, because supposedly the abscess was small enough that it wasn't needed.   I'm just wondering what they will do next?  Will I have to go back to surgery?  I know that the abscess is smaller after a 10-day round of antibiotics, but still there.  I'm finishing up the last 2 days of my second round (7 days) and the pain is the same, maybe a little worse.  I'm still extremely nauseous in the mornings and will often times throw up bile first thing in the morning.  I haven't had a fever for a week or so.
 
Anyone have a similar experience they can share?   I don't like surprises--I would rather know up  front what I could be facing.  I'm trying to get back to work full time, since next week will be the 6-week mark after surgery.  

73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 7/26/2009 3:57 PM (GMT -7)   
Not an expert here, but can share my experience with this. I think they will likely put the drain in, as if the abscess sac is intact, the antibiotics can't penetrate it to do any real healing. You should likely get a Ct with dye to see if there is a fistula attatched to the abscess as well. Once drained again, and the drain left in for a week or so, the antibiotics should do the job over 4-6 weeks. 
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Has used Prednisone and Pentasa. Started Imuran (02/09), had an abdominal abscess (12/08). 2cm of Stricture.


aronk
Regular Member


Date Joined Jun 2006
Total Posts : 229
   Posted 7/26/2009 4:57 PM (GMT -7)   
Thanks 73monte! Now, can I be at home with the drain in, or would I have to be in the hospital for that? I wish they would have just put the drain in the first time around. Grrrr. I had a CT scan one week ago, which told them the abscess was still there, but smaller. He didn't mention a fistula being attached, but I will ask tomorrow at my appointment. Apparently, it's a pretty small area, yet still causing me trouble.

73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 7/26/2009 6:12 PM (GMT -7)   
I think you might be able to have the drain in at home. The drain line has to be flushed each day, but If you could get a nurse to visit you once a day should do it. My daughter was in the Hospital for 10 days with hers, but she was quite sick at the time. The fistula isn't necessarily likely, just thought you might ask about that. Also, Flagyl does seem to be the antibiotic of choice for treating these.  Good Luck with it.
 
Tom.
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Has used Prednisone and Pentasa. Started Imuran (02/09), had an abdominal abscess (12/08). 2cm of Stricture.


Jay25CA
Regular Member


Date Joined Jul 2004
Total Posts : 114
   Posted 9/24/2009 12:53 PM (GMT -7)   
I think I may abscess. Can you tell me what your symptoms were? I just have some burning pain on the left side of my stomach after open surgery. At first it was really painful and then the next day barely noticeable. I may have just strained my muscle when I jumped out of bed when someone rang the doorbell about a week out of the hospital. Thanks.

Jason
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