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The management of an abscess is largely dependent on its site, extension and underlying disease. Treatment of any underlying disease is paramount e.g. diverticular disease, lung carcinoma.
Early and appropriate antibiotics may obviate the need for surgical intervention. A toxic picture indicates the need for blood cultures to optimize antibiotics and further investigation with regard to surgery.
History and clinical findings usually indicate the abscess site. Other techniques include:
Surgical treatment depends on site:
Collapse of the cavity post-operatively can be checked by injecting contrast medium down the drain. All pus should be sent for culture and the pyogenic membrane should be sent for histology to rule out malignant transformation.