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About The Treatment

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Abscess - Pelvic Treatment

An abscess is a localised ball of pus which is covered with a fibrous capsule. Discharge (pus) is a fluid containing bacteria (germs or bugs), dead or dying inflammatory cells called neutrophils, and proteins secreted by cells. Pelvic access is situated in the lower region (pelvis) of the patient’s body.

The Causes of Pelvic Abscess

The causes of pelvic abscess are similar to the abdominal abscess. A few reasons are mentioned below.

  • Pelvic infection
  • Parasite infection
  • A burst appendix, intestine or ovary
  • Infection in your gallbladder, pancreas
  • Infection in your ovary or other organs
  • Pelvic abscess occurs as an infectious complication of surgery (e.g., hysterectomy, cesarean delivery, induced abortion)
  • Pelvic abscess can be caused as the result of infectious processes (e.g., pelvic inflammatory disease, inflammatory bowel disease, diverticulitis)

What are the Observable Symptoms?

The symptoms of pelvic abscess are similar to the abdominal abscess.

  • Fever
  • Belly pain
  • Lack of appetite
  • Feeling mass in the belly
  • Malnourishment
  • Nausea and vomiting
  • Chest pain and shoulder pain
  • Change in bowel movements
  • Rectal tenderness or feeling of fullness

How the Diagnosis is Made?

  • Ultrasound
    An abdominal ultrasound utilises sound waves to make a photo of the inside organs to see the size of an abdominal abscess. The doctor will make you lie on a table with your abdomen exposed. An ultrasound technician will apply a clear, water-based gel to the skin over the abdomen. Then, the abdomen will be scanned thoroughly with the help of transducer.
  • Computerised Tomography (CT) Scan
    CT scan makes a 3D photo of the body from inside, utilising x-rays taken from various points. A PC joins these pictures into a point by point, cross-sectional view that demonstrates any anomalies or tumours. In some cases, a unique colour called a differentiation medium is given before the output to provide better detail on the picture. A CT scan can display ruptures, localised abscesses, organs, abdominal growths, and foreign objects in the body.
  • Magnetic Resonance Imaging (MRI)
    An MRI utilises magnetic fields, not x-rays, to create itemised pictures of the body. X-ray can be used to gauge the size of the abcess. If needed, a unique colour called a complexity medium is given before the scan to make a clearer picture. This colour can be infused into a patient's vein or given as a pill to swallow. X-ray is the best imaging test to discover the location of any abscess or cancer.

What is the Treatment Procedure?

Usually, the first step in treating an abdominal abscess is draining it with a needle. The procedure takes barely 15-20 minutes, although it depends on the size of the abscess as well.

The doctor will directly insert a needle through your skin and into the abscess. Your doctor will then pull the plunger to remove the infected fluid. Once the abscess is drained, your doctor will send the drainage sample to the lab for analysis. Studying the sample will help in determining the appropriate antibiotic. Surgery is opted in case the abscess is deep inside the skin and cannot be drained with the help of a needle.

The doctor may also recommend intravenous antibiotics to treat the abdominal abscess.

Why Surgery is Needed for Abscess Removal?

  • To thoroughly clean the abscess
  • If the abscess can’t be drained with a needle
  • If the abscess has ruptured
  • If the abscess is huge

Your doctor will give you general anaesthesia to put you to sleep during the surgical procedure. Then, the surgeon will cut the abdomen and locate the abscess. He/she will then clean the abscess and attach a drain to it so pus can drain out. The pipe will stay in place until the abscess heals. This usually takes several days or weeks.

Treatment-related Complications

Usually, patients on whom the surgery is performed have higher morbidity and mortality. Another problem is the emergence of multidrug-resistant organisms. Healing depends on initiating early treatment to restore fluid and electrolyte imbalances, supporting the function of vital organs, and providing appropriate antimicrobial therapy. On the other hand, the patient may recover finely without showing any complications.

What Does the Prognosis Say?

The removal of abscess pus through a syringe barely takes 15-20 minutes. The surgical procedure may take up to an hour depending on the size and location of the tumour. The recovery is also immediate and the patient can go home after the procedure.

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