What is one key management strategy for a subphrenic abscess?

Management of a subphrenic abscess typically involves both supportive measures and intervention to address the underlying infection. The correct approach includes administering intravenous antibiotics to treat the infection effectively, combined with drainage of the abscess, which is often necessary given that antibiotics alone may not adequately resolve the accumulation of pus and inflammatory debris.

Subphrenic abscesses can result from various underlying conditions, including perforation of bowel, pancreatitis, or postoperative complications. Prompt drainage is crucial because simply relying on antibiotics would not sufficiently address the localized infection and could lead to complications such as further abscess formation or systemic infection.

In many cases, the drainage can be accomplished percutaneously using imaging guidance, but open surgical intervention may be required in cases where there are extensive adhesions or if the abscess is not amenable to percutaneous drainage. Hence, the dual approach of intravenous antibiotics and potential drainage is key to managing this condition effectively.