Appendicular Abscess with Anterior Abdominal Wall Extension in Elderly.

Autor: Ch, Chan, G., Ziyadi, Y. W., Yan, B. B., Nurul
Předmět:
Zdroj: Surgical Chronicles; 2019, Vol. 24 Issue 1, p18-20, 3p
Abstrakt: Background: Acute appendicitis remains one of the most common disease conditions in general surgery. Appendicitis with abscess formation and extension to anterior abdominal wall is rather rare. Case presentation: We report a case of a 75-year-old gentleman presented with painful right iliac fossa swelling, diarrhoea and reduced oral intake. Clinically abdominal wall abscess was elicited at right iliac fossa. However, abdominal CT demonstrated appendicular abscess with possible extension into the right anterior abdominal wall. He then underwent an emergency appendectomy and drainage of the abdominal wall abscess. Histopathologic report confirmed the diagnosis of appendicitis. Postoperatively, he was kept in ward for 2 weeks due to paralytic ileus and nosocomial pneumonia. Conclusion: Anterior abdominal wall abscess as a result of extension of appendicular abscess is a rare presentation. It needs to be considered in elderly age group in which late presentation always occurs, leads to perforation, abscess formation and subsequently extension into anterior abdominal wall. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index