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Background <p>Intra-abdominal abscesses are common post-operative complications, typically resolving with percutaneous drainage and antibiotics. Chronic, refractory abscesses persisting for years and progressing to mechanical bowel obstruction are exceedingly rare.</p> Case Presentation <p>We report a 36-year-old female who developed a persistent intra-abdominal abscess following an ovarian cystectomy, with symptoms persisting for 3½ years despite seven drainage procedures and two exploratory laparotomies. She presented with progressive abdominal distension, vomiting, and signs of bowel obstruction. Imaging confirmed a chronic organized abscess abutting bowel loops. Definitive management included bowel and omental resection with restoration of bowel continuity. Histopathology revealed chronic suppurative inflammation without granulomas or malignancy.</p> Conclusion <p>This case highlights the need to consider chronic intra-abdominal abscess in the differential diagnosis of persistent post-operative symptoms and underscores the importance of timely surgical intervention in refractory cases to prevent progression to rare complications such as mechanical bowel obstruction.</p>

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Persistent intra-abdominal abscess with intestinal obstruction following seven failed drainage procedures over 3.5 years: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月5日

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  • Ayman Shemes,
  • Salma Samra,
  • Ahmed Mohamed,
  • Amr A. Elgharib

摘要

Background

Intra-abdominal abscesses are common post-operative complications, typically resolving with percutaneous drainage and antibiotics. Chronic, refractory abscesses persisting for years and progressing to mechanical bowel obstruction are exceedingly rare.

Case Presentation

We report a 36-year-old female who developed a persistent intra-abdominal abscess following an ovarian cystectomy, with symptoms persisting for 3½ years despite seven drainage procedures and two exploratory laparotomies. She presented with progressive abdominal distension, vomiting, and signs of bowel obstruction. Imaging confirmed a chronic organized abscess abutting bowel loops. Definitive management included bowel and omental resection with restoration of bowel continuity. Histopathology revealed chronic suppurative inflammation without granulomas or malignancy.

Conclusion

This case highlights the need to consider chronic intra-abdominal abscess in the differential diagnosis of persistent post-operative symptoms and underscores the importance of timely surgical intervention in refractory cases to prevent progression to rare complications such as mechanical bowel obstruction.