[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.166.80.147. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 1925

SUBPHRENIC ABSCESS AND ITS DIFFERENTIAL DIAGNOSIS ROENTGENOLOGICALLY CONSIDERED

Author Affiliations

Professor of Roentgenology, New York University Medical College and Bellevue Hospital NEW YORK

Arch Surg. 1925;10(1):544-556. doi:10.1001/archsurg.1925.01120100556031
Abstract

In view of the many cases recently reported of difficulty encountered in the diagnosis of subphrenic abscess, resulting in delayed operative procedure, it appears desirable to stress the roentgen-ray diagnosis of this condition. Cottle1 recently reported a case of subphrenic abscess following removal of the appendix and excision of a duodenal ulcer, in which the diagnosis was disputed for three and a half months. In spite of the fact that the clinical evidence indicated a chest lesion, the roentgenologist insisted that the fluid was beneath the diaphragm. After a delay of about four months, the roentgenologist's diagnosis of subphrenic abscess was confirmed by aspiration and, later, by operation. Case 1 (Figs. 1-6) presented somewhat similar difficulties.

The physical signs apparently are often misleading. In a recent paper by Douglas,2 the following interesting explanation was offered:

As usually described, the physical signs found are dulness or flatness, diminished breath

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