Video assisted surgery: a unique approach for non-resolving retroperitoneal abscess
Keywords:Retroperitoneal abscess, Video assisted, Sepsis
Abdominal gunshot injuries and its management has always been challenging for surgeons. Challenges start from diagnosis and extent of injury and its immediate management and further its long term complications and their management. Injuries extending up to retroperitoneal space complicated by abscess formation are difficult to manage because the retroperitoneal space is relatively inaccessible leading to very poor outcome, and a tailor made approach is the best method of treatment for an individual patient. Current study report a rare case of video assisted approach for non-resolving retro-peritoneal abscess caused by abdominal gunshot injury with previous laparotomy and unilateral nephrectomy (left-side) with retro-peritoneal abscess along with sepsis, acute renal failure and hemopneumothorax.
Altemeier WA, Alexander JW. Retroperitoneal abscess. Arch Surg. 1961;83:512-24.
Mallia AJ, Ashwood N, Arealis G, Galanopoulos I. Retroperitoneal abscess: an extra-abdominal manifestation. BMJ Case Rep. 2015;2015: bcr2014207437.
Harris LF, Sparks JE. Retroperitoneal abscess. Dig Dis Sci. 1980;25:392-5.
Winter B, Gajda M, Grimm MO. Diagnosis and therapy of retroperitoneal abscesses. Urologist. 2016;55:741-7.
Tunuguntla A, Raza R, Hudgins L. Diagnostic and therapeutic difficulties in retroperitoneal abscess. South Med J. 2004;97(11):1107-9.
Besselink MG, van Santvoort HC, Nieuwenhuijs VB, Boermeester MA, Bollen TL, Buskens E, et al. Minimally invasive 'step-up approach' versus maximal necrosectomy in patients with acute necrotising pancreatitis (PANTER trial): design and rationale of a randomised controlled multicenter trial. BMC Surg. 2006;6:6.
Capitán Manjón C, Tejido Sánchez A, Piedra Lara JD, Martínez Silva V, Cruceyra Betriu G, Rosino Sánchez A, et al. Retroperitoneal abscesses--analysis of a series of 66 cases. Scand J Urol Nephrol. 2003;37(2):139-44.
Gordon DH, Macchia RJ, Glanz S, Koser MW, Laungani GB. Percutaneous management of retroperitoneal abscesses. Urology. 1987;30(4):299-306.
Coelho RF, Schneider-Monteiro ED, Mesquita JL, Mazzucchi E, Marmo Lucon A, Srougi M. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg. 2007;31(2):431-6.
Brolin RE, Nosher JL, Leiman S, Lee WS, Greco RS. Percutaneous catheter versus open surgical drainage in the treatment of abdominal abscesses. Am Surg. 1984;50(2):102-8.