My husband had emergency surgery for UC caused toxic mega colon and had perforated his colon last Nov, developed septic shock etc. After many complications and a 70 day hospital stay he has been home since mid January. He developed an abdominal abscess a couple of weeks after surgery, they drained it percutaneously from and area on his left flank (back). Three times it has been drained proven collapsed by CT and has returned. The last time was April. they have had a drain in since April and even though the abscess is gone now there is still drainage of about 30 cc every day. When it is cultured it shows normal gut flora. Surgeon suspected a fistula and has done a sinogram 4 times. All show no communication with the bowel. We wondered if maybe there was a bit of gauze or sponge left in his causing the abscess but they cannot see anything on CT. The surgeon is now suggesting exploratory surgery for the reason she thinks there could be a pin hole perf in in small colon but she admits she is just guessing. Radiologist thought the discharge looked like lymph fluid and tried to talk the surgeon into left her treat it as such, the surgeon would not agree.
Does anyone have eny experience or knowledge that could help us? Lymph drainage what is that all about? Abscess after perf gut?
He is doing quite well finally gained some weight, appetite is improved, white blood count normal. Leaning to live with ileostomy however clothing is an issue and I will be back with a question about that, the stoma is right where his belt would be. He is 58 and in perfect health until last Oct when he developed a bout of UC that turned very bad very fast.