Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 12, Number 8, August 2021, pages 301-305

An Unusual Case of Intraabdominal Abscess After a Colonoscopy With Polypectomy

Figures

Figure 1.
Figure 1. CT of the abdomen and pelvis with contrast showing intraabdominal abscess. (a) Arrowhead shows loculated fluid collection, with enhancing walls, in the anterior segment of the right lobe at the hepatic dome. (b) Arrowhead shows an ovoid thick-walled fluid collection in the posterior segment of the right hepatic lobe. (c) Arrowhead shows a large lobulated fluid collection just lateral to the right colon anteriorly in the right lower quadrant/right pelvis. (d) Arrowhead shows fluid collection posterior right flank, extending into the right paraspinal musculature. CT: computed tomography.
Figure 2.
Figure 2. CT of the abdomen and pelvis showing the four percutaneous drains. (a) Arrowhead shows a percutaneous drain in the right hepatic dome. (b) Arrowhead shows a percutaneous drain in the tip of the right hepatic lobe. (c) Arrowhead shows a percutaneous drain in the right paracolic gutter. (d) Arrowhead shows a percutaneous drain in the right lower quadrant. CT: computed tomography.

Table

Table 1. Laboratory Values During Admission
 
Days of admission
1234567891014
WBC: white blood cell; NV: normal value; BUN: blood urea nitrogen.
WBC (103/µL) (NV: 4.0 - 11.2)28.725.124.715.910.510.112.411.210.710.010.2
Neutrophils (%) (NV: 30 - 71)93.293.194.889.074.468.473.370.170.367.267.8
Hemoglobin (g/dL) (NV: 13.7 - 17.5)8.38.08.19.08.89.29.69.89.59.79.2
Platelet (103/µL) (NV: 150 - 400)711550497614567550609555500463441
BUN (mg/dL) (NV: 7 - 18)16141311897871114
Creatinine (mg/dL) (NV: 0.7 - 1.3)1.60.90.90.90.80.80.80.90.81.01.2