Anterior abdominal wall abscess

Case contributed by Elena Batura
Diagnosis certain

Presentation

Anterior abdominal wall pain and abdominal volume increase.

Patient Data

Age: 75 years
Gender: Female

Large, well-defined lesion in the anterior abdominal wall (between fascia transversalis and peritoneum parietal) with gas-fluid level. Other findings: left-sided renal cyst, hemangioma in segment 3 of the left hepatic lobe.

Case Discussion

Incision and drainage of the abscess: a large pus cavity with foul-smelling greenish-colored pus. The wound culture result was E. coli. This is a case of primary anterior abdominal abscess; there is no associated diabetes, immunocompromised status, etc.

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