Suprahepatic Abscess

This is the authors' abstract. We don't add key points for this paper.

THE first successful surgical attack on a subdiaphragmatic abscess was performed by Von Volkman in 1879.1The subject then remained in relative obscurity until 1908 when Barnard delivered his treatise on the surgical aspects of subphrenic abscess.2In it he defined subphrenic abscess as "any localized collection of pus which is in contact with the under surface of the diaphragm." He depicted the coronary ligaments as suspending the liver from the dome of the diaphragm and dividing the subdiaphragmatic space into six compartments. Until recently all major papers on the subject accepted this anatomical division and defined the subphrenic space as that area from the diaphragm to the transverse mesocolon. More recently, Boyd,3-5Moore,6and Carter and Brewer1have stressed the fact that the coronary ligaments suspend the liver from the posterior abdominal wall. As have a few others in the past,7-12they state