What is a retroperitoneal abscess?
Retroperitoneal abscess (RA) is an unusual life-threatening disease that has insidious and occult presentations. Although the incidence of this disease is low, diagnosis and treatment are challenging due to its nonspecific presentation and the complex anatomy of the retroperitoneal space.
How do you treat retroperitoneal abscess?
Treatment for retroperitoneal abscess varies according to the origin. Surgical drainage is recommended in cases of GI origin. Percutaneous drainage is recommended initially in cases of GU origin, deep muscular and soft-tissue origin, with a risk following surgical drainage due to incomplete drainage.
What is the most common cause of retroperitoneal abscess?
Bacterial spread from the urinary tract is the most common cause for retroperitoneal abscesses. Spread from gastrointestinal tract being the 2nd commonest such as perforated appendix, colonic cancer, diverticular disease, and Crohn’s disease.
How do you get a retroperitoneal abscess?
Most retroperitoneal abscesses originate as inflammatory processes in the kidney and GI tract. Renal causes include infections related to renal lithiasis or previous urologic operative procedures. GI causes include appendicitis, diverticulitis, pancreatitis, and Crohn disease.
What is the most common site of retroperitoneal infections?
Medical procedure-related retroperitoneal infections are mainly caused by surgeries of the duodenal fistula, common bile duct injury, severe pancreatitis, appendix, sigmoid colon, and the rectum.
What causes retroperitoneal pain?
Causes of retroperitoneal inflammation Kidney infections, abscesses , stones, and other causes of inflammation or infection of the kidneys can cause retroperitoneal inflammation. A ruptured appendix, stomach ulcers, or a perforated colon can allow bacteria into your retroperitoneal space.
Which is considered to be the best diagnostic tool for retroperitoneal infections?
Additionally, a CT scan combined with magnetic resonance imaging (MRI) is effective for the diagnosis and localization of retroperitoneal abscesses, with a sensitivity up to 100% [32,33].
What causes retroperitoneal inflammation?
Complications with organs Kidney infections, abscesses , stones, and other causes of inflammation or infection of the kidneys can cause retroperitoneal inflammation.
What causes RPF?
The exact cause of retroperitoneal fibrosis is not known in about two-thirds of the affected individuals (idiopathic). A drug used in the treatment and prevention of migraine headaches (methysergide) may be the cause of this rare disorder in 12 percent of cases.
What is a retroperitoneal Haematoma?
Retroperitoneal hematoma is defined as bleeding into the retroperitoneal space. This clinical entity is often occult and under-recognized by clinicians and is a cause of significant morbidity and mortality.
What drugs can cause retroperitoneal fibrosis?
Drugs such as beta-blockers, methysergide, and methyldopa have been implicated, possibly by acting as haptens, leading to a hypersensitivity or autoimmune reaction. The fibrous reaction associated with carcinoid tumor is believed to be the result of circulating serotonin or its metabolites.
Who treats retroperitoneal fibrosis?
Dr. Paul Scheel is a Nephrologist in Saint Louis, Missouri. Dr. Scheel has been practicing medicine for over 35 years and is rated as an Elite doctor by MediFind in the treatment of Retroperitoneal Fibrosis.
What is the difference between primary and retroperitoneal abscesses?
• Retroperitoneal abscesses are less common than intraperitoneal abscesses • Primary abscesses are caused by hematogenous bacterial spread, most commonly S aureus • Primary abscesses are more common in underdeveloped countries • Secondary abscesses result from spread of infection from adjacent organs, principally from the intestine
What are the treatment options for retroperitoneal abscess?
• Percutaneous catheter-based drainage has a lower success in retroperitoneal abscesses than with intra-abdominal abscesses Surgery • Most patients will require open surgical debridement and drainage, ideally via an extraperitoneal flank approach
Can a retroperitoneal abscess cause flank pain?
Infection in the retroperitoneal space, such as a retroperitoneal abscess, can lead to flank pain as a result of local inflammation.Such abscesses may result from a urinary tract infection, but also can develop from pathologies of the enteric system.
What is the diagnostic significance of retroperitoneal abscess with gas bubbles?
-Gas bubbles are diagnostic of a retroperitoneal abscess -Helpful in diagnosing the underlying etiology in patients with secondary retroperitoneal abscesses • Abscesses are confined to specific compartments whereas neoplasms frequently violate fascial barriers