Appendicular abscess and a swollen knee

Retroperitoneal Abscess Resulting from Perforated Acute Appendicitis: Analysis of Its Management and Outcome

“…Regardless of the method of diagnosis, appendicitis was recognized as the underlying cause of the condition preoperatively in 8 of the 24 patients: by barium enema in one, 8 by ultrasound in one, 20 by MRI in one, 24 and by CT in fi ve. 14,19,20,22 The other 16 patients were deemed to have an abscess of uncertain origin, and appendicitis was found during surgery or as an autopsy fi nding.…”

“…Interestingly, we investigated cases reported in the last 10 years, [16][17][18][19][20][21][22][23][24] when many broad-spectrum antibiotics appeared on the market and the judicious use of proper antibiotics was the subject of much discussion; however, the selection and use of antibiotics was not discussed in detail in these case reports. For example, only two reports mentioned the names of antibiotics used, but without further discussion; 20,23 fi ve reports merely said that broad-spectrum antibiotics were used; 16,[18][19]21,22 and one report did not mention the use of antibiotics at all. 24 In contrast, failure of initial antibiotic treatment before surgical managements was described in several reports.…”

“…After the exclusion of case reports for which full text was not available in the domestic libraries of Taiwan (consisting mainly of publications before 1950), 18 reports, describing 22 cases, published between 1955 and 2005 were identifi ed. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] We reviewed and analyzed the patients' characteristics, onset of symptoms, timing and methods of diagnosis and management, and outcome.…”