case_images: PMC11670777_01
case_images: Anterior abdominal wall abscess from colo-cutaneous fistula.
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case_images: Physical examination revealed left lower quadrant tenderness, swelling, erythema, and fluctuance, suggesting an abdominal wall abscess (Figs 1 and 2).
case_images: Anterior abdominal wall abscess from colo-cutaneous fistula.
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case_images: Physical examination revealed left lower quadrant tenderness, swelling, erythema, and fluctuance, suggesting an abdominal wall abscess (Figs 1 and 2).
case_images: CT from readmission with anterior abdominal wall abscess and left pelvic abscess.
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case_images: A CT scan of the abdomen and pelvis revealed a 3.8 x 3.6 cm air and fluid pocket in the low left anterior abdominal wall, indicative of an abscess likely at the site of a previous drain (Fig. 3).
case_images: CT with perforation from prior admission.
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case_images: CT-guided percutaneous drainage by interventional radiology (Figs 4-7). Cultures grew Citrobacter sedlakii and Enterococcus faecium vancomycin resistant Enteroccus (VRE), and treatment was adjusted to include Bactrim, followed by daptomycin and levofloxacin.
case_images: CT with abscess developed after initial antibiotic treatment.
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case_images: CT-guided percutaneous drainage by interventional radiology (Figs 4-7). Cultures grew Citrobacter sedlakii and Enterococcus faecium vancomycin resistant Enteroccus (VRE), and treatment was adjusted to include Bactrim, followed by daptomycin and levofloxacin.
case_images: CT-guided percutaneous drainage of abscess.
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case_images: CT-guided percutaneous drainage by interventional radiology (Figs 4-7). Cultures grew Citrobacter sedlakii and Enterococcus faecium vancomycin resistant Enteroccus (VRE), and treatment was adjusted to include Bactrim, followed by daptomycin and levofloxacin.
case_images: CT showing resolution of abscess with IR pigtail drain in place.
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case_images: CT-guided percutaneous drainage by interventional radiology (Figs 4-7). Cultures grew Citrobacter sedlakii and Enterococcus faecium vancomycin resistant Enteroccus (VRE), and treatment was adjusted to include Bactrim, followed by daptomycin and levofloxacin.
case_images: Intraoperative findings of colo-cutaneous fistula, sigmoid colon, and adhered small bowel.
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case_images: Intraoperative findings were concerning for colo-cutaneous fistula with a firm mass in the center of sigmoid colon where multiple loops of small bowel were adhered (Fig. 8).