Subdiaphragmatic Abscess: Complication of Emergency Laparotomy

Intra-abdominal abscesses usually occur following any intra-abdominal surgery, trauma, Gastrointestinal infection or intestinal perforation. In particular, the diagnosis of sub-phrenic collection can be notoriously difficult. This fact is expressed by well-known aphorism: 'Pus somewhere, pus nowhere else, under diaphragm'. Sub-diaphragmatic form between diaphragm and abdominal organs, such as liver spleen. Depending on severity sub-diaphragmatic abscess cause, treatment method may vary for each case. The treated with early percutaneous drainage empiric intravenous antibiotics. When dealing post-operative persistent pyrexia that does not react to antibiotics, surgeons must always careful, likelihood a considered. If treated, thoracic complications prevail, in rare cases, death. We present case patient perforated duodenal ulcer ultrasound-guided good outcome.