Intercystic abscesses

　　Pus can be surrounded by intestinal tubes, mesentery, and omentum, forming single or multiple abscesses of varying sizes. Due to extensive adhesions around the abscess, varying degrees of adhesive intestinal obstruction often occur. If the abscess penetrates into the intestinal tract or bladder, an internal fistula is formed, and pus is excreted with feces and urine.

　　The surrounding area of intercystic abscesses has extensive adhesions, often accompanied by varying degrees of adhesive intestinal obstruction. If the abscess penetrates into the intestinal tract or bladder, it can cause internal colic, making treatment difficult.

　　1. Intestinal obstruction

　　During intercystic abscesses, the wall of the abscess cavity may form extensive inflammatory adhesions with the intestinal wall, leading to adhesive intestinal obstruction.

　　2. Internal fistula

　　If the abscess spontaneously ruptures into the intestinal tract or bladder, it can form an intestinal fistula or bladder fistula, and pus is excreted with feces and urine.

　　Patients with intercystic abscesses may present with remittent fever, abdominal distension, or incomplete intestinal obstruction, and sometimes palpable tender masses.

　　1. Abdominal pain is persistent and dull, or may worsen intermittently.

　　2. The course of emaciation is often long, with gradual emaciation, weakness, accompanied by high fever or low fever.

　　3. Abdominal examination shows tenderness, but without a fixed point, the tender area is mostly where the abscess is located, without muscle tension, and with hyperactive or decreased bowel sounds.

　　Intercystic abscesses mainly occur when abdominal infection or gastrointestinal leakage is surrounded by intestinal tubes, mesentery, abdominal wall, and omentum, forming single or multiple abscesses of varying sizes. Therefore, the key to preventing this disease is to actively treat peritoneal cavity inflammation.

　　1. Patients with peritonitis should adopt a semi-sitting position to allow the peritoneal effusion to drain into the pelvis.

　　2. For abdominal trauma patients, thorough lavage of the abdominal cavity should be performed, and as much abdominal effusion, pus, and lavage fluid as possible should be aspirated during surgery. After the condition stabilizes postoperatively, early semi-sitting position should be adopted.

　　Patients with peritonitis, abdominal trauma, etc., in which pus is wrapped by the intestine, mesentery, and omentum, can form a single or multiple abscesses of different sizes, which is intercystic abscess. For the diagnosis of this disease, the following auxiliary examinations can be performed:

　　1. Laboratory examination

　　(1) White blood cell count and differential count: Total white blood cell count and neutrophils are significantly increased.

　　(2) Red blood cells and hemoglobin: Red blood cells and hemoglobin may decrease in patients with long-standing disease or weakness.

　　2. Imaging examination

　　(1) Ultrasound examination: Multiple fluid dark areas in the abdomen can assist in diagnosis.

　　(2) X-ray examination: Widening of the intestinal wall spacing and local intestinal loop gas accumulation is found.

　　(3) CT examination: Multiple abscesses of different sizes can be detected in the abdomen.

　　In terms of diet, light and high-fiber foods are recommended, such as spinach, celery, winter melon, luffa, pumpkin, mung beans, soybeans, rapeseed, chrysanthemum, mushrooms, kelp, radish, and lotus root.

　　Regularly eating these dishes such as cold mixed bean sprouts with dried bean curd strips, stir-fried tofu skin with celery, stir-fried pork slices with mushrooms, stir-fried luffa, etc., all have the effect of clearing heat and detoxifying, which can alleviate symptoms such as anal and rectal swelling, pus, and flowing water.

　　At the same time, choose green bean porridge, celery porridge, egg noodles, vegetarian porridge, etc., which have the effect of moistening intestines and defecation; fruits such as watermelons, apples, pineapples, buckets, pears, etc.; green tea, chrysanthemum tea, honeysuckle tea, mung bean soup and other drinks can also prevent the formation of perianal abscesses and alleviate the symptoms of perianal abscesses.

　　Intercystic abscess is one of the common complications of purulent peritonitis and abdominal surgery. Drug treatment is mainly anti-infection and fluid replacement:

　　1. According to the infection situation, give broad-spectrum, adequate antibiotic treatment to promote the gradual absorption of the abscess.

　　2. Maintain total parenteral nutrition to maintain electrolyte balance.

　　3. For those with multiple abscesses with a diameter of 5cm, strengthen supportive therapy (including the use of new and special drugs), and adopt physical hyperthermia therapy, etc., wait for the abscess fluid to be absorbed naturally.