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August 1962

Intra-Abdominal Abscess: A Review of 100 Consecutive Patients

Author Affiliations

From the Divisions of Surgery, Marquette University School of Medicine, and the Surgical Service, Wood Veterans Administration Hospital.

Arch Surg. 1962;85(2):278-284. doi:10.1001/archsurg.1962.01310020108021

Introduction  Textbooks of surgery describe intra-abdominal abscess in a straightforward manner as follows: The onset is heralded by a temperature spike on the 6th to 10th postoperative day and continues to spike in a remittent fashion until drainage is performed. The primary disease or previous operation makes one suspect an abscess in a specific location. This is substantiated by physical and x-ray findings. Immediate drainage by an extraserous route is performed, and the patient is cured. Our experience, however, tells us that all of these statements are either misleading or incorrect. Therefore, a statistical review of 100 patients was done in order to illuminate the following main areas associated with intra-abdominal abscesses: (1) common features of an abscess which might lead to an earlier diagnosis; (2) factors contributing to the formation of an abscess; (3) the effect of various modes of therapy as well as other factors on morbidity and

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