[Skip to Content]
[Skip to Content Landing]
Article
May 30, 1896

SUBPHRENIC ABSCESS AND ITS RELATION TO PYOTHORAX.

Author Affiliations

PROFESSOR OF SURGERY, NEW YORK SCHOOL OF CLINICAL MEDICINE; SURGEON TO ST. MARK'S HOSPITAL, GERMAN POLIKLINIK, WEST SIDE GERMAN DISPENSARY; CONSULTING SURGEON H. S. G. S. ORPHAN ASYLUM, ETC., NEW YORK.

JAMA. 1896;XXVI(22):1050-1051. doi:10.1001/jama.1896.02430740002002
Abstract

Among five cases of subphrenic abscess which I observed during the last six years, I could but twice make a correct diagnosis before operation. In two cases I diagnosed pyothorax, the symptoms being those made known by the more or less exhaustive descriptions of modern writers. From the study of the current literature on this subject, as well as from the reports of friends I know, however, that I do not assume an isolated position in this connection, and that pyothorax is very often confounded with subphrenic abscess—not unfrequently even after operation. Such errors impressed me gravely with the important necessity of widening our limited diagnostic knowledge upon this neglected subject. Practically this error, especially if made by a surgeon, is no great misfortune for the patient. It differs but little whether the abscess is located above or below the diaphragm, as the essential part of the treatment in either

First Page Preview View Large
First page PDF preview
First page PDF preview
×