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Calif Med. 1967 July; 107(1): 20–25.
PMCID: PMC1502859
Subphrenic Abscess—Roentgen Considerations
M. E. Mottram
Abstract
Roentgen findings in subphrenic abscess, in the order of their specificity and clinical value, are subphrenic air-fluid level, elevation and restriction of motion of the diaphragm, pleural reaction with congestion, segmental atelectasis or pneumonitis at the lung base and upper abdominal mass. Less frequently there may be empyema or bronchopleural fistula.

Suppression of the infection by antibiotics may protract the course and obscure the clinical findings. Serial x-ray and fluoroscopic studies are recommended when a patient who has had rupture of a viscus or previous abdominal operation does not completely recover or has a persistent lowgrade fever.

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  • BERENS, JJ; GRAY, HK; DOCKERTY, MB. Subphrenic abscess. Surg Gynecol Obstet. 1953 Apr;96(4):463–470. [PubMed]
  • BOYD, DP. The intrathoracic complications of subphrenic abscess. J Thorac Cardiovasc Surg. 1959 Dec;38:771–779. [PubMed]
  • CARTER, R; BREWER, LA., 3rd SUBPHRENIC ABSCESS: A THORACOABDOMINAL CLINICAL COMPLEX: THE CHANGING PICTURE WITH ANTIBIOTICS. Am J Surg. 1964 Aug;108:165–174. [PubMed]
  • DINEEN, P; McSHERRY, CK. Subdiaphragmatic abscess. Ann Surg. 1962 Apr;155:506–517. [PubMed]