THREE CASES OF ABSCESS FORMATION RIGHT UNDER THE ABDOMINAL WALL PLACED SEPRAFILM AFTER GASTROINTESTINAL RESECTION

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  • 消化管切除術後にセプラフィルムを留置した腹壁直下に膿瘍を形成した３例

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Abstract

Patient 1, a 24-year-old man, was admitted to the hospital because of anal bleeding. The patient was diagnosed as having bleeding from ileal ulcer due to Crohn's disease, and underwent arterial embolizaiton followed by resection of the ileocecum. Patient 2, a 48-year-old man, was admitted to the hospital because of intestinal obstruction. He was found having stricture at the ileocolic anastomosis due to Crohn's disease, which was excised. Patient 3, a 55-year-old man, was admitted to the hospital with a diagnosis of cancer of the pyloric antrum of stomach and underwent a distal gastrectomy and dissection of group 2 lymph nodes with Billroth I reconstruction. In all three patients seprafilm® (SF) was placed under the abdominal wall, at where abscess was formed after the operation.<br> SF relieves adhesions and reduces intestinal obstruction, but it can cause an increase of postoperative infection if it is used inappropriately. When SF is placed after Billroth I reconstruction for gastric cancer, we must pay attention not to cover the anastomosis. Further we must keep in mind that abscess cavity can be formed at an area where SF is placed, if the patient develops intraperitoneal infection postoper-atively.

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