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Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration

Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. One such presentation is described in a 60-year-old man who was brought to the hospital due to right lumbar pain and fever for the last 15 days. Ultrasonography showed a right perin...

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Autores principales: Wani, Nisar Ahmad, Farooq, Mir, Gojwari, Tariq, Kosar, Tasleem
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934582/
https://www.ncbi.nlm.nih.gov/pubmed/20842255
http://dx.doi.org/10.4103/0974-7796.62923
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author Wani, Nisar Ahmad
Farooq, Mir
Gojwari, Tariq
Kosar, Tasleem
author_facet Wani, Nisar Ahmad
Farooq, Mir
Gojwari, Tariq
Kosar, Tasleem
author_sort Wani, Nisar Ahmad
collection PubMed
description Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. One such presentation is described in a 60-year-old man who was brought to the hospital due to right lumbar pain and fever for the last 15 days. Ultrasonography showed a right perinephric gas and fluid collection. Abdominal computed tomography with multidetector-row CT (MDCT) revealed gas-containing abscess in the right retroperitoneal region involving the perinephric space, extending from the lower pole of the right kidney up to the bare area of the liver. Inflamed retrocecal appendix was seen on thick multiplanar reformat images with its tip at the lower extent of the abscess. Laparotomy and retroperitoneal exploration were performed immediately and a large volume of foul smelling pus was drained. A ruptured retrocecal appendix was confirmed as the cause of the abscess.
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spelling pubmed-29345822010-09-14 Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration Wani, Nisar Ahmad Farooq, Mir Gojwari, Tariq Kosar, Tasleem Urol Ann Case Report Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. One such presentation is described in a 60-year-old man who was brought to the hospital due to right lumbar pain and fever for the last 15 days. Ultrasonography showed a right perinephric gas and fluid collection. Abdominal computed tomography with multidetector-row CT (MDCT) revealed gas-containing abscess in the right retroperitoneal region involving the perinephric space, extending from the lower pole of the right kidney up to the bare area of the liver. Inflamed retrocecal appendix was seen on thick multiplanar reformat images with its tip at the lower extent of the abscess. Laparotomy and retroperitoneal exploration were performed immediately and a large volume of foul smelling pus was drained. A ruptured retrocecal appendix was confirmed as the cause of the abscess. Medknow Publications 2010 /pmc/articles/PMC2934582/ /pubmed/20842255 http://dx.doi.org/10.4103/0974-7796.62923 Text en © Urology Annals http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wani, Nisar Ahmad
Farooq, Mir
Gojwari, Tariq
Kosar, Tasleem
Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title_full Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title_fullStr Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title_full_unstemmed Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title_short Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration
title_sort perinephric abscess caused by ruptured retrocecal appendix: mdct demonstration
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934582/
https://www.ncbi.nlm.nih.gov/pubmed/20842255
http://dx.doi.org/10.4103/0974-7796.62923
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