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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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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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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. |
format | Text |
id | pubmed-2934582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
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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