Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess
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 cult...
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| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/707191 |
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| author | Aditya J. Nanavati Sanjay Nagral Nitin Borle |
| author_facet | Aditya J. Nanavati Sanjay Nagral Nitin Borle |
| author_sort | Aditya J. Nanavati |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b5c9d798b6ed4e9c9cf4f510f6df61ba |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-b5c9d798b6ed4e9c9cf4f510f6df61ba2025-08-20T02:23:20ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/707191707191Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh AbscessAditya J. Nanavati0Sanjay Nagral1Nitin Borle2Department of General Surgery, K. B. Bhabha Hospital, BandraWest, Mumbai 400050, IndiaDepartment of General Surgery, K. B. Bhabha Hospital, BandraWest, Mumbai 400050, IndiaDepartment of General Surgery, K. B. Bhabha Hospital, BandraWest, Mumbai 400050, IndiaA 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.http://dx.doi.org/10.1155/2015/707191 |
| spellingShingle | Aditya J. Nanavati Sanjay Nagral Nitin Borle Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess Case Reports in Surgery |
| title | Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess |
| title_full | Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess |
| title_fullStr | Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess |
| title_full_unstemmed | Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess |
| title_short | Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess |
| title_sort | retroperitoneal perforation of the appendix presenting as a right thigh abscess |
| url | http://dx.doi.org/10.1155/2015/707191 |
| work_keys_str_mv | AT adityajnanavati retroperitonealperforationoftheappendixpresentingasarightthighabscess AT sanjaynagral retroperitonealperforationoftheappendixpresentingasarightthighabscess AT nitinborle retroperitonealperforationoftheappendixpresentingasarightthighabscess |