An abscess is an infected fluid collection within the body, most commonly in the abdomen and pelvis.
Abdominal abscesses may form below the diaphragm, in the middle of the abdomen, in the pelvis, or behind the abdominal cavity. Abscesses also may form in or around any abdominal organ, such as the kidneys, spleen, pancreas, or liver, or in the prostate gland. Untreated abscesses can grow and damage nearby blood vessels and organs. Sometimes, bacteria enter the bloodstream (sepsis) and spread to distant organs and tissues. This can spread can be fatal.
In order to confirm a diagnosis of an abscess your doctor may order an imaging test, such as a CT scan or an ultrasound.
In some cases, abdominal abscesses are caused by perforation of the intestine due to cancer, ulcer, or injury. More commonly, abscesses are caused by the spread of infection or inflammation caused by conditions such as appendicitis, diverticulitis, Crohn disease, pancreatitis, or pelvic inflammatory disease.
Some abscesses form after an acute injury to the abdomen or after surgery.
Specific symptoms of abdominal abscesses depend on the location of the abscess, but most people have constant discomfort or pain, feel generally sick (malaise), and often have a fever. Other symptoms could include loss of appetite and weight loss.
The below symptoms are likely based on the site of the abscess:
If doctors suspect a person has an abscess, they will usually use imaging tests to distinguish an abscess from other problems, as well as determine the source, size and position. Some standard imaging tests are computed tomography (CT), ultrasound, or magnetic resonance imaging (MRI).
To make a definitive diagnosis, doctors sometimes insert a needle thought the skin to draw a sample of pus from the abscess; this is called a needle aspiration. The sample will then be examined in a laboratory to identify the infecting organism so the most effective antibiotic can be selected.
Despite the widespread use and availability of antibiotics, most infected fluid collections that are within the abdominal cavity need to be treated actively either by percutaneous drainage or by surgery. Due to the advancements in image-guided techniques most intra-abdominal or intra-pelvic abscesses can be drained percutaneously.
Antibiotics are usually used in addition to drainage to prevent the infection from spreading and to help completely eliminate the infection. It is uncommon for antibiotics to cure an abscess without drainage.
At IVC, we offer a minimally invasive treatment for abscess drainage. Percutaneous abscess drainage, uses image guidance to obtain a sample of the infected fluid and remove infected fluid from the body.
Call IVC today at 503-612-0498 to schedule an appointment for a consultation.
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.