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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Main Authors: Wani Nisar, Farooq Mir, Gojwari Tariq, Kosar Tasleem
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Urology Annals
Subjects:
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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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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AT farooqmir perinephricabscesscausedbyrupturedretrocecalappendixmdctdemonstration
AT gojwaritariq perinephricabscesscausedbyrupturedretrocecalappendixmdctdemonstration
AT kosartasleem perinephricabscesscausedbyrupturedretrocecalappendixmdctdemonstration