Case of atypical retroperitoneal suppurative complication of acute appendicitis
- Authors: Shaymardanov RS1, Gubaev RF2, Sharafiev SZ2, Nuriev II2, Gafurov KD2
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Affiliations:
- Kazan State Medical Academy
- City Clinical Hospital №7
- Issue: Vol 98, No 5 (2017)
- Pages: 838-840
- Section: Clinical observations
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/7045
- DOI: https://doi.org/10.17750/KMJ2017-838
- ID: 7045
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Abstract
The article presents a case of an occasional extraperitoneal suppurative complication of acute appendicitis due to atypical clinical manifestation and diagnostic complexity. A 56-year-old male was hospitalized to the urological emergency department of Emergency Hospital №2 in December, 2014, with low back pain suggestive of renal colic. Renal ultrasound revealed cavitary lesion with liquid content in right lumbar region. Pus was drawn off by tapping. Further on, the abcess was opened 6 times during 2 following years. X-ray computed tomography of abdomen showed that the apex of appendix was located in lumbar (Petit) hernia and communicated with purulent cavity. Planned appendectomy was performed on January, 10, 2017. Convalescence. Histological finding (11.01.2017) was simple appendicitis. The reported case is of clinical interest as a rare compication of acute appendicitis developed in appendix located in lumbar (Petit) hernia; X-ray computed tomography of the abdomen is the most informative instrumental method for the diagnosis of acute appendicitis and its complications.
Keywords
About the authors
R S Shaymardanov
Kazan State Medical Academy
Author for correspondence.
Email: nurievmd@gmail.com
Kazan, Russia
R F Gubaev
City Clinical Hospital №7
Email: nurievmd@gmail.com
Kazan, Russia
S Z Sharafiev
City Clinical Hospital №7
Email: nurievmd@gmail.com
Kazan, Russia
I I Nuriev
City Clinical Hospital №7
Email: nurievmd@gmail.com
Kazan, Russia
K D Gafurov
City Clinical Hospital №7
Email: nurievmd@gmail.com
Kazan, Russia
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