PMC6879988_01
(A) Bowel and omental adhesions to abdominal wall (B) Abscess cavity localized by instilling sterile water in the existing IR-placed drain (C) Tip of IR drain (Pigtail) brought out after unroofing of the chronic abscess cavity (D) Completion of abscess cavity unroofing after IR drain was externally removed (E) Omental flap used to pack the unroofed chronic abscess cavity and secured in place with sutures.
gr1.jpg
PMC6879988_01_gr1.jpg
fig0005
Significant, dense adhesions were encountered in the right abdomen between the distal ileum and lateral abdominal wall (Fig. 1A). The abscess was unroofed and its cavity thoroughly irrigated with sterile water (Fig. 1B-D). To prevent recurrence, a flap of omentum was freed, packed within the abscess to encourage healing, and secured to the cavity's edges (Fig. 1E).