Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report

Diverticulitis, a condition predisposing to inflammation or infection, presents with clinical similarities to acute appendicitis and is associated with an increased risk of perforation. This case report details a 25-year-old male presenting to the emergency department with a perforated appendix and...

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Main Authors: Anuradha Dnyanmote, Saicharan Reddy Nagarla, Kuldip Patil
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/20939/69233_CE[Ra1]_F(SHU)_QC_PF1(HJ_SS)_PFA(IS)_PN(IS).pdf
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author Anuradha Dnyanmote
Saicharan Reddy Nagarla
Kuldip Patil
author_facet Anuradha Dnyanmote
Saicharan Reddy Nagarla
Kuldip Patil
author_sort Anuradha Dnyanmote
collection DOAJ
description Diverticulitis, a condition predisposing to inflammation or infection, presents with clinical similarities to acute appendicitis and is associated with an increased risk of perforation. This case report details a 25-year-old male presenting to the emergency department with a perforated appendix and suspected caecal perforation, diagnosed via Ultrasound (US) and Computed Tomography (CT) scans. Emergency surgery revealed gangrenous changes in the caecum, a base-ofappendix perforation, and a leaking retroperitoneal abscess. Surgical intervention involved resection of the appendix, caecum, and a segment of the ascending colon, with ileo-transverse anastomosis and a temporary ileostomy. Post-surgery, the patient showed symptomatic improvement. This case highlights the crucial need for prompt diagnosis and surgical intervention in managing complex scenarios involving retroperitoneal abscesses and associated complications.
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publishDate 2025-05-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj-art-e591174fa3304b819f77f16f9154e5f12025-08-20T03:48:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195PD01PD0310.7860/JCDR/2025/69233.20939Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case ReportAnuradha Dnyanmote0Saicharan Reddy Nagarla1Kuldip Patil2Professor, Department of General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pimpri, Maharashtra, India.Final Year Resident, Department of General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pimpri, Maharashtra, India.Assistant Professor, Department of General Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pimpri, Maharashtra, India.Diverticulitis, a condition predisposing to inflammation or infection, presents with clinical similarities to acute appendicitis and is associated with an increased risk of perforation. This case report details a 25-year-old male presenting to the emergency department with a perforated appendix and suspected caecal perforation, diagnosed via Ultrasound (US) and Computed Tomography (CT) scans. Emergency surgery revealed gangrenous changes in the caecum, a base-ofappendix perforation, and a leaking retroperitoneal abscess. Surgical intervention involved resection of the appendix, caecum, and a segment of the ascending colon, with ileo-transverse anastomosis and a temporary ileostomy. Post-surgery, the patient showed symptomatic improvement. This case highlights the crucial need for prompt diagnosis and surgical intervention in managing complex scenarios involving retroperitoneal abscesses and associated complications.https://jcdr.net/articles/PDF/20939/69233_CE[Ra1]_F(SHU)_QC_PF1(HJ_SS)_PFA(IS)_PN(IS).pdfanastomosisappendicitisileostomyinflammationtrauma
spellingShingle Anuradha Dnyanmote
Saicharan Reddy Nagarla
Kuldip Patil
Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
Journal of Clinical and Diagnostic Research
anastomosis
appendicitis
ileostomy
inflammation
trauma
title Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
title_full Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
title_fullStr Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
title_full_unstemmed Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
title_short Diverticulitis Leading to Caecal Perforation with Retroperitoneal Abscess: A Case Report
title_sort diverticulitis leading to caecal perforation with retroperitoneal abscess a case report
topic anastomosis
appendicitis
ileostomy
inflammation
trauma
url https://jcdr.net/articles/PDF/20939/69233_CE[Ra1]_F(SHU)_QC_PF1(HJ_SS)_PFA(IS)_PN(IS).pdf
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AT kuldippatil diverticulitisleadingtocaecalperforationwithretroperitonealabscessacasereport