Abstract
Perfore akut apandisit sonrası komplike olan karın içi apse oluşumu iyi bilinmektedir. Bununla birlikte, bu apselerin iliopsoas kasına lokalizasyonu nadirdir ve tanı ve tedavisi genellikle problemlidir ve gecikir. Bu yazıda, 10 gündür devam eden sağ inguinal ve lomber ağrı yakınması ile hastaneye yatırılan 59 yaşında bir hastayı sunuyoruz. Karın tomografisi ve MR ile iliopsoas apsesi tanısı alan hastada perkütan apse drenajı başarısız oldu. Daha sonra hastada akut karın tablosu gelişti. Ultrasonografi ile retroçekal apandisit teşhisi kondu. Acil laparotomi ve retroperitoneal apse drenajı yapıldı. Perofore retroçekal apandisit bazen karın ağrısına neden olmadan retroperitoneal apse ile ortaya çıkabilir. Bu nedenle, retroperitoneal enfeksiyonu düşündüren semptomları olan hastalarda, perfore apandisitten ciddi oranda şüphelenmek gerekir.
Supporting Institution
yok
Project Number
yok
References
- 1. Shields D, Robinson P, Crowley TP Iliopsoas abscess –A review and update on the literature. Int J Surg 2012;10(9):466-9.
- 2. Mahmoudi A, Abdelali M. Un abcès du psoas compliquant une appendicite aiguë [A psoas abscess complicating acute appendicitis]. Pan Afr Med J. 2015;22:231.
- 3. Otowa Y, Sumi Y Kanaji S, Kanemitsu K, Yamashita K, Imanishi T, Nakamura T, et al. Appendicitis with psoas absces successfully treated by laparoscopic surgery. World J Gastroenterol 2014; 20(25): 8317-8319.
- 4. Snyder MJ, Guthrie M, Cagle S. Acute Appendicitis: Efficient Diagnosis and Management. Am Fam Physician. 2018;98(1):25-33.
- 5. Petrovic I, Pecin I, Prutki M, et al. Thigh abscess as an extension of psoas abscess: the first manifestation of perforated appendiceal adenocarcinoma: case report. Wien Klin Wochenschr. 2015;127(15-16):645-648.
- 6. Choi SB, Han HJ, Kim WB, Song TJ, Choi SY. A case of a recurrent iliopsoas abscess masking a complicated appendicitis successfully treated by a laparoscopic approach. Surg Laparosc Endosc Percutan Tech. 2010;20(2):e69-e72.
- 7. Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79:101–106.
- 8. Miller ELC, Miller LFF, Carvalho JG, Marsillac A, Pires L, Babinski MA, Monteiro M. Psoas muscle absces simulating acute appendicitis: A case report Int J of Surgery Case Reports 25(2016) 139-142
- 9. Jeffrey RB, Callen PW, Federle MP. Computed tomography of psoas abscesses. J Comput Assist Tomogr. 1980;4(5):639–41.
Abstract
Intra abdominal abscess formation complicating perforated acute appendicitis are well known. However, localization of these abscesses to the iliopsoas muscle is rare and its diagnosis and treatment is usually problematic and delayed. In this article, we present a 59-year-old patient who was hospitalized with the complaint of right inguinal and lumbar pain, which has been going on for 10 days. Percutaneous abscess drainage failed after the diagnosis of iliopsoas abscess by abdominal tomography and MRI. Subsequently, the patient developed acute abdomen; He was diagnosed with retrocecal appendicitis on ultrasonography. Emergency laparotomy and retroperitoneal abscess drainage was performed. Perforated retrocecal appendicitis can sometimes occur with retroperitoneal abscess without causing abdominal pain. Therefore, in patients with symptoms suggestive of retroperitoneal infection, it is necessary to seriously suspect perforated appendicitis.
Project Number
yok
References
- 1. Shields D, Robinson P, Crowley TP Iliopsoas abscess –A review and update on the literature. Int J Surg 2012;10(9):466-9.
- 2. Mahmoudi A, Abdelali M. Un abcès du psoas compliquant une appendicite aiguë [A psoas abscess complicating acute appendicitis]. Pan Afr Med J. 2015;22:231.
- 3. Otowa Y, Sumi Y Kanaji S, Kanemitsu K, Yamashita K, Imanishi T, Nakamura T, et al. Appendicitis with psoas absces successfully treated by laparoscopic surgery. World J Gastroenterol 2014; 20(25): 8317-8319.
- 4. Snyder MJ, Guthrie M, Cagle S. Acute Appendicitis: Efficient Diagnosis and Management. Am Fam Physician. 2018;98(1):25-33.
- 5. Petrovic I, Pecin I, Prutki M, et al. Thigh abscess as an extension of psoas abscess: the first manifestation of perforated appendiceal adenocarcinoma: case report. Wien Klin Wochenschr. 2015;127(15-16):645-648.
- 6. Choi SB, Han HJ, Kim WB, Song TJ, Choi SY. A case of a recurrent iliopsoas abscess masking a complicated appendicitis successfully treated by a laparoscopic approach. Surg Laparosc Endosc Percutan Tech. 2010;20(2):e69-e72.
- 7. Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79:101–106.
- 8. Miller ELC, Miller LFF, Carvalho JG, Marsillac A, Pires L, Babinski MA, Monteiro M. Psoas muscle absces simulating acute appendicitis: A case report Int J of Surgery Case Reports 25(2016) 139-142
- 9. Jeffrey RB, Callen PW, Federle MP. Computed tomography of psoas abscesses. J Comput Assist Tomogr. 1980;4(5):639–41.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Olgu Sunumları |
| Authors | |
| Project Number | yok |
| Publication Date | February 8, 2021 |
| Submission Date | July 23, 2020 |
| Acceptance Date | September 8, 2020 |
| Published in Issue | Year 2021 Volume: 16 Issue: 1 |
