multiloculated fluid collection

[octfob]

Had biopsy on abdomen for lymphoma 2 yrs ago.  Incision herniated and as result of surgery to repair I developed a large pocket of fluid measuring 10cm across 5.5 thick and 7.5cm long in the anterior abdominal wall above the umbilicus.  Should this fluid be drained percutaneously with a needle.

[PaulMD]

If the CT scan is negative, then the option of using a needle may be safer.  But the fluid can still recur after wards.

[octfob]

Thank you for your earlier reply - it is very much apprecitated

[octfob]

Ct scan reveals no recurrence of hernia.  Would this lessen the danger of using the needle to correct this problem.  How great is the risk of infection and chance is may reappear

[PaulMD]

Hi there.

I believe that percutaneous drainage of this fluid collection may just be a temporary solution, since the underlying cause is still present and may still lead to re-accumulation of the fluid.  I suggest that you discuss with your surgeon regarding definitive means of addressing this problem such as repairing the abdominal hernia through surgery, so that future fluid accumulations can be prevented.  Also, this abdominal defect may harbor intestinal contents, and aspirating it will not be a good idea since bowels may be hit and punctured.

Regards and God bless.