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Over the past 9 years, ten patients have presented to the Thoracic Unit, Glasgow Royal Infirmary, with 12 empyemas secondary to intra-abdominal sepsis. In eight patients, the presenting signs and symptoms were wrongly attributed to primary intra-thoracic pathology. All were subsequently found to have intra-abdominal sepsis. The presence of empyema after recent abdominal surgery or abdominal pain strongly suggests a diagnosis of ipsilateral subphrenic abscess. Adequate surgical drainage is essential. In our experience, limited thoracotomy with subdiaphragmatic extension offers the best access to both pleural and subphrenic spaces and provides the greatest chance of eradicating infection on both sides of the diaphragm.
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
January 1982,
Revista medica de Panama,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
August 1989,
The Journal of trauma,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
January 2018,
Internal medicine journal,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
October 1982,
Archives of internal medicine,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
April 1980,
American family physician,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
May 1995,
The Medical clinics of North America,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
August 1987,
Journal of the Royal Society of Medicine,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
January 1971,
Advances in surgery,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
January 1976,
Heart & lung : the journal of critical care,
K C Ballantyne, and
B Sethia, and
I J Reece, and
K G Davidson
April 1976,
Proceedings of the Royal Society of Medicine,
