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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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Series: | Urology Annals |
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Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=1;spage=29;epage=31;aulast=Wani |
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author | Wani Nisar Farooq Mir Gojwari Tariq Kosar Tasleem |
author_facet | Wani Nisar Farooq Mir Gojwari Tariq Kosar Tasleem |
author_sort | Wani Nisar |
collection | DOAJ |
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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format | Article |
id | doaj.art-1b3ac58b6cee4bd089af34744b833d7f |
institution | Directory Open Access Journal |
issn | 0974-7796 0974-7834 |
language | English |
last_indexed | 2024-12-13T19:22:54Z |
publishDate | 2010-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Urology Annals |
spelling | doaj.art-1b3ac58b6cee4bd089af34744b833d7f2022-12-21T23:34:07ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342010-01-01212931Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstrationWani NisarFarooq MirGojwari TariqKosar TasleemAcute 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.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=1;spage=29;epage=31;aulast=WaniPerinephric abscessretrocecal appendicitismultidetector-row CT- MDCT |
spellingShingle | Wani Nisar Farooq Mir Gojwari Tariq Kosar Tasleem Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration Urology Annals Perinephric abscess retrocecal appendicitis multidetector-row CT- MDCT |
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 | Perinephric abscess retrocecal appendicitis multidetector-row CT- MDCT |
url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=1;spage=29;epage=31;aulast=Wani |
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