Intra-abdominal abscess

Early and appropriate parenteral antimicrobial therapy is a mainstay in the treatment and prevention of this complication.

Sepsis in adults

Ruptured IAA can be a severe complication. Patients present with generalized peritonitis, and probably with severe septic shock. Early resuscitation, antimicrobial therapy, and surgical control of the infectious source should be instituted immediately.

Usually results secondary to inadequate source control. Reaccumulation of an abscess could be treated either percutaneously or surgically depending on the cause of the recurrence. In percutaneous drainage, most recurrences are due to malposition, insufficient drain size, or kink or blockage of the catheter. A communicating abscess with the bowel lumen may indicate a surgical procedure.