Complicated acute appendicitis presenting as an abscess in the abdominal wall in an elderly patient: A case report

Souza, Ibrahim Massuqueto Andrade Gomes de; Nunes, Diego Antonio De Almeida; Massuqueto, Carolina Morandim Granito; Veiga, Marcos Alberto de Mendonça; Tamada, Horacio

doi:10.1016/j.ijscr.2017.09.023

Cited by 8 publications

(10 citation statements)

References 8 publications

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“…Treatment may vary when the patient presents with complications. All patients with unexplained groing and thigh symptoms require a thorough evaluation to exclude intraabdominal disease despite minimal abdominal signs[1]. In the present patient, the complication was the formation of an abscess of the appendices with drainage to the abdominal wall.…”

mentioning

confidence: 75%

“…The onset of an abdominal wall abscess without a known cause needs to be thoroughly investigated, with consideration of a subjacent abdominal cause and appendicitis necessitates [1].…”

Section: Discussionmentioning

confidence: 99%

“…Appendicitis is a prevalent cause of abdominal pain, it is a typical disease of young men, with a high incidence in those aged 10-19 years and a low frequency (5-10%) in elderly individuals aged more than 50-60 years [1]. Diagnosing acute appendicitis can be challenging, as the typical clinical history and signs are not present in 30-40% of cases [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Acute appendicitis revealed by an abscess of the anterior abdominal wall: A case report

Bannar¹,

Mahad²,

Boutakioute³

et al. 2020

Int J Vasc Surg Med

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Introduction: Appendicitis is a common cause of acute abdomen; however the classic clinical signs are not often present, which can be manifested by numerous complications, but the revelation by a parietal collection remains unusual, its diagnosis can be challenging. Presentation of case: We describe the case of a 31 years old man, who complains for pain of the right fl ank. The clinical examination objective an erythematous and painful swelling of the right iliac fossa, the abdominal ultrasound has objectifi ed a collection of the right fl ank and right iliac fossa, The CT Scan of the Abdomen/Pelvis found a voluminous collection of soft tissues of the right anterolateral abdominal and pelvic wall, hypo dense and heterogeneous, containing air, The surgical exploration objectifi ed a huge purulent collection with subcutaneously ceacum and appendage suppurated and perforated. Conclusion: The onset of an abdominal wall abscess without a known cause needs to be thoroughly investigated, with consideration of a subjacent abdominal cause and appendicitis.

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mentioning

confidence: 75%

“…The onset of an abdominal wall abscess without a known cause needs to be thoroughly investigated, with consideration of a subjacent abdominal cause and appendicitis necessitates [1].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute appendicitis revealed by an abscess of the anterior abdominal wall: A case report

Bannar¹,

Mahad²,

Boutakioute³

et al. 2020

Int J Vasc Surg Med

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“…But the diagnosis of appendicitis is still largely clinical 1,5,6,8,16, . The art of surgical diagnosis comes into play 17,18 . The keen observation skills and experience of the surgeon is more accurate and effective than the lab and radiological reports 19,20 .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of perforated appendicitis-a study of 90 cases

Khan

Sultana²,

Ahsan

et al. 2020

J. Surg. Sci.

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Introduction: Acute appendicitis is the most common general surgical emergency in the world. It may cause potential risk for patients due to its life threaten complications like burst (perforation). The perforated appendicitis often leads to serious infectious complication like abdominal sepsis, pelvic abscess & etc. There are concerns of using laparoscopic appendectomy to perforated appendicitis. Now a days laparoscopic management of perforated appendicitis is the standard surgical option in many countries. Laparoscopic procedure has tremendous advantages over the open procedure regarding its diagnosis, exclusion of additional pathology, surgical treatment, wound infection (port infection), hospital stay & overall patient’s satisfaction. The aim of this prospective study was to evaluate the role and application of laparoscopy in the management of complicated appendicitis (perforation). Methods: It is a prospective study conducting during January 2011 to May 2019 in BSMMU and some private hospitals of Dhaka, Bangladesh. It includes 90 patients in whom laparoscopic appendicectomy & peritoneal lavage was performed. Three ports technique were usual. Sometimes 4th port is required. 10 mm port is telescopic port. The other one is 3/5 mm port and another one is 5/10 mm port.Energy source is unipolar diathermy. Intracorporeal knotting, endoloop and haemoclip are used for haemostosis& ligating appendicular stump. Results: Age distribution of the study is 3-90 years, mean 17 years. Male is predominant. Duration varies 10-120 minutes, mean 70 minutes. Duration varies 30-120 minutes, mean 70 minutes. Hospital stay varies from 48-96 hours, mean 64 hours. There were 8 complications- single (5, 5.55%) or multiple (3, 3.33%) port infections, paralytic ileus (2, 2.22%) and diarrhea (1, 1.11%), port TB was identified (3, 3.33%) cases among the port infection. Conversion was 1 (1.11%) for controlling haemorrhage of burst appendicitis. All complications are managed conservatively. Conclusion: Total management of perforated appendicitis by laparoscopy is excellent. So it is achievable, feasible & can be done by expert hand in any center. Now it is considered as standard procedure. Journal of Surgical Sciences (2019) Vol. 23(2): 59-66

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“…Sometimes abdominal wall swelling and abscess can be a manifestation of various intra-abdominal pathologies 10–16. Appediceal perforation is one of these pathologies and its well described in the literature,17–19 with some being reported being perforated within an inguinal hernia 20…”

Section: Discussionmentioning

confidence: 99%

A case of appendiceal mucinous cystadenoma which presented as painless purulent umbilical discharge

Buainain¹,

Khaldi²,

Tahseen³

2019

BMJ Case Rep

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A 57-year-old obese, diabetic woman, presented with 1 day history of purulent umbilical discharge. She was vitally stable and afebrile. Abdominal examination revealed a full abdomen with purulent discharge from the umbilicus, swelling with erythema and induration surrounding the umbilicus. Lab tests were normal. Initial impression was abdominal wall abscess. Ultrasound showed subcutaneous fluid collection. Non-contrast CT showed collection and abdominal wall defect at the umbilicus. On exploration of the abscess cavity, there were two defects (umbilical and supraumbilical) with appendix protruding through the umbilical defect and a part of a small bowel and omentum adherent to the other defect. Wash was given, bowel and omentum were released and appendectomy was performed. Histopathology showed mucinous cystadenoma with periappendicitis. We would like to highlight the rare occurrence of an appendiceal mucinous cystadenoma in such a clinical presentation.

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Complicated acute appendicitis presenting as an abscess in the abdominal wall in an elderly patient: A case report

Abstract: HighlightsAn abdominal wall abscess without a known cause requires thorough investigation.We describe a case of right abdominal wall abscess and spontaneous drainage.Appendicitis necessitatis needs to be considered a cause of abdominal wall abscess.

Cited by 8 publications

References 8 publications

Acute appendicitis revealed by an abscess of the anterior abdominal wall: A case report

Acute appendicitis revealed by an abscess of the anterior abdominal wall: A case report

Laparoscopic management of perforated appendicitis-a study of 90 cases

A case of appendiceal mucinous cystadenoma which presented as painless purulent umbilical discharge

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