Retroperitoneal perforation of the appendix complicated by pneumoretroperitoneum and abdominal wall emphysema : a case report
Joint Authors
Tahsin, Wail Muhammad
al-Fadil, Hani Ibrahim Ahmad
Source
Journal of the Bahrain Medical Society
Issue
Vol. 30, Issue 2 (30 Jun. 2018), pp.6-9, 4 p.
Publisher
Publication Date
2018-06-30
Country of Publication
Bahrain
No. of Pages
4
Main Subjects
Abstract EN
A 67-year-old Bahraini male patient, diabetic and hypertensive, presented to the Emergency department with complaints of a 3-day history of shortness of breath, abdominal distension, and constipation without abdominal pain.
Clinical evaluation and laboratory investigations revealed lower abdominal tenderness and rebound tenderness as well as status of septic shock.
Contrast enhanced computed tomography revealed inflamed vermiform appendix with pneumoretroperitoneum and abdominal wall emphysema associated with abdominal wall edema.
Surgical laparotomy was performed which revealed retroperitoneal perforation of the appendix associated with pus and air in the retroperitoneum and the abdominal wall.
Appendectomy was performed along with drainage of retroperitoneal as well as abdominal wall pus.
The case represents an uncommon complication of acute vermiform appendix inflammation with retroperitoneal perforation into the abdominal wall.
This case indicates that a possibility of intra-abdominal pathology should be raised in patients with subcutaneous surgical emphysema of the chest and abdomen.
American Psychological Association (APA)
Tahsin, Wail Muhammad& al-Fadil, Hani Ibrahim Ahmad. 2018. Retroperitoneal perforation of the appendix complicated by pneumoretroperitoneum and abdominal wall emphysema : a case report. Journal of the Bahrain Medical Society،Vol. 30, no. 2, pp.6-9.
https://search.emarefa.net/detail/BIM-865869
Modern Language Association (MLA)
Tahsin, Wail Muhammad& al-Fadil, Hani Ibrahim Ahmad. Retroperitoneal perforation of the appendix complicated by pneumoretroperitoneum and abdominal wall emphysema : a case report. Journal of the Bahrain Medical Society Vol. 30, no. 2 (2018), pp.6-9.
https://search.emarefa.net/detail/BIM-865869
American Medical Association (AMA)
Tahsin, Wail Muhammad& al-Fadil, Hani Ibrahim Ahmad. Retroperitoneal perforation of the appendix complicated by pneumoretroperitoneum and abdominal wall emphysema : a case report. Journal of the Bahrain Medical Society. 2018. Vol. 30, no. 2, pp.6-9.
https://search.emarefa.net/detail/BIM-865869
Data Type
Journal Articles
Language
English
Notes
Record ID
BIM-865869