Retroperitoneal absceces and abdominal wall fascitis by complicated acute appendicitis: A case report

The retroperitoneal abscess can be secondary to retrocecal appendicitis. We present the case of a 66 years old male, obese and diabetic, who presented with pain and lumbar mass, and a previous history of abdominal pain. A tomography showed a retroperitoneal abscess with soft tissue and a right scrot...

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Detalles Bibliográficos
Autores: Vera-Portilla, Walter, Wong-Leyva, A. Ailyn, Valdivia-Velarde, Kevin, Vera-Portilla, Angel F.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Fundación Instituto Hipólito Unanue
Repositorio:Diagnóstico
Idioma:español
OAI Identifier:oai:revistadiagnostico.fihu.org.pe:article/289
Acceso en línea:https://revistadiagnostico.fihu.org.pe/index.php/diagnostico/article/view/289
Access Level:acceso abierto
Palabra clave:Absceso retroperitoneal
apendicitis retrocecal
fascitis necrotizante
Retroperitoneal abscess
retrocecal appendicitis
necrotizing fasciitis
Descripción
Sumario:The retroperitoneal abscess can be secondary to retrocecal appendicitis. We present the case of a 66 years old male, obese and diabetic, who presented with pain and lumbar mass, and a previous history of abdominal pain. A tomography showed a retroperitoneal abscess with soft tissue and a right scrotal bag. He was admitted to the operating room and a retrocecal appendix with distal end digested was evidenced, and when we opening the retroperitoneum and making a right lumbar and inguinal incision the pus leakage was showed too. The patient received antibiotic therapy and cures, and had a good evolution. Retroperitoneal abscess secondary to acute appendicitis is a rare and serious surgical infection, and it causes necrotizing fasciitis is exceptional. Therefore, it should be included within the diagnostic possibilities in allimmunosuppressed patients with low back pain and a history of abdominal pain; and they will required a CT scan.