A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia
An 82-year-old man was admitted to the emergency room with an acute left-sided groin pain and scrotal swelling. He has suffered from a groin hernia for two years. Abdominal x-ray demonstrated air-fluid levels in the left upper quadrant suggesting an intestinal obstruction (Figure 1). Abdominal c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2015-06-01
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| Series: | Journal of Urological Surgery |
| Online Access: | http://jurolsurgery.org/article_9080/A-Giant-Retroperitoneal-Abscess-Mimicking-Incarcerated-Inguinal-Hernia |
| _version_ | 1797910689976680448 |
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| author | Naciye Sinem Gezer Nuri Karabay Koray Atila |
| author_facet | Naciye Sinem Gezer Nuri Karabay Koray Atila |
| author_sort | Naciye Sinem Gezer |
| collection | DOAJ |
| description | An 82-year-old man was admitted to the emergency room with an
acute left-sided groin pain and scrotal swelling. He has suffered
from a groin hernia for two years. Abdominal x-ray demonstrated
air-fluid levels in the left upper quadrant suggesting an intestinal
obstruction (Figure 1). Abdominal computed tomography (CT)
scan was obtained with an initial diagnosis of an incarcerated
inguinal hernia. However, it showed multiple perirenal abscesses
and a giant-sized retroperitoneal abscess extending from the
retroperitoneal space into the scrotum through the inguinal canal
(Figure 2 and 3).
Retroperitoneal abscesses are most frequently seen in the 3rd to
6th decades of life (1). Gram-negative bacteria, most commonly E.
coli, are the cause of infection which usually develops secondary to
pyelonephritis, urinary stasis or immune suppression. The onset of
clinical manifestations of the infection, including flank, abdomen
and groin pain, chills, fever, tachycardia, weakness and anorexia
are often insidious (2,3). Laboratory findings include leukocytosis,
increased serum creatinine levels and pyuria. The literature
emphasizes the possibility of diagnostic delay and postponed
treatment of retroperitoneal abscess due to the fact that its
prodrome phase may be long. |
| first_indexed | 2024-04-10T11:28:24Z |
| format | Article |
| id | doaj.art-14369997b24949c6bd400e8397e2fefb |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T11:28:24Z |
| publishDate | 2015-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-14369997b24949c6bd400e8397e2fefb2023-02-15T16:18:14ZengGalenos YayineviJournal of Urological Surgery2148-95802015-06-012211811910.4274/jus.2014.187A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal HerniaNaciye Sinem Gezer0Nuri Karabay1Koray Atila2Dokuz Eylül University Faculty of Medicine, Department of Radiology, İzmir, TurkeyDokuz Eylül University Faculty of Medicine, Department of Radiology, İzmir, TurkeyDokuz Eylül University Faculty of Medicine, Department of General Surgery, İzmir, TurkeyAn 82-year-old man was admitted to the emergency room with an acute left-sided groin pain and scrotal swelling. He has suffered from a groin hernia for two years. Abdominal x-ray demonstrated air-fluid levels in the left upper quadrant suggesting an intestinal obstruction (Figure 1). Abdominal computed tomography (CT) scan was obtained with an initial diagnosis of an incarcerated inguinal hernia. However, it showed multiple perirenal abscesses and a giant-sized retroperitoneal abscess extending from the retroperitoneal space into the scrotum through the inguinal canal (Figure 2 and 3). Retroperitoneal abscesses are most frequently seen in the 3rd to 6th decades of life (1). Gram-negative bacteria, most commonly E. coli, are the cause of infection which usually develops secondary to pyelonephritis, urinary stasis or immune suppression. The onset of clinical manifestations of the infection, including flank, abdomen and groin pain, chills, fever, tachycardia, weakness and anorexia are often insidious (2,3). Laboratory findings include leukocytosis, increased serum creatinine levels and pyuria. The literature emphasizes the possibility of diagnostic delay and postponed treatment of retroperitoneal abscess due to the fact that its prodrome phase may be long.http://jurolsurgery.org/article_9080/A-Giant-Retroperitoneal-Abscess-Mimicking-Incarcerated-Inguinal-Hernia |
| spellingShingle | Naciye Sinem Gezer Nuri Karabay Koray Atila A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia Journal of Urological Surgery |
| title | A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia |
| title_full | A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia |
| title_fullStr | A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia |
| title_full_unstemmed | A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia |
| title_short | A Giant Retroperitoneal Abscess Mimicking Incarcerated Inguinal Hernia |
| title_sort | giant retroperitoneal abscess mimicking incarcerated inguinal hernia |
| url | http://jurolsurgery.org/article_9080/A-Giant-Retroperitoneal-Abscess-Mimicking-Incarcerated-Inguinal-Hernia |
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