Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess
Joint Authors
Nanavati, Aditya J.
Nagral, Sanjay
Borle, Nitin
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-01
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A rare case of a retroperitoneal rupture of the appendix is being reported here.
A 53-year-old male presented to us with a right sided thigh abscess.
There were not any abdominal complaints at presentation.
There was continuous discharge after incision and drainage from the thigh.
Isolation, in culture, of an enteric bacterium from the pus prompted an evaluation of the gastrointestinal tract as a possible source.
An MRI scan revealed fluid tracking from the right paracolic gutter over the psoas sheath and paraspinal muscle into the thigh.
A CT scan revealed the perforation at the base of the appendix into the retroperitoneum.
At laparotomy the above findings were confirmed.
A segmental ileocaecal resection was done.
The patient made an uneventful recovery.
The absence of abdominal symptoms at presentation leads to delay in diagnosis in such cases.
Nonresolving thigh and groin abscesses should lead to the evaluation of the gastrointestinal tract as origin.
Diagnostic clues may also be provided by culture reports what as happened in this case.
American Psychological Association (APA)
Nanavati, Aditya J.& Nagral, Sanjay& Borle, Nitin. 2015. Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060123
Modern Language Association (MLA)
Nanavati, Aditya J.…[et al.]. Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess. Case Reports in Surgery No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060123
American Medical Association (AMA)
Nanavati, Aditya J.& Nagral, Sanjay& Borle, Nitin. Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060123
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060123