Lumbar Abscess Resulting from Appendicitis

Turner, Gill; Daniell, Simon

doi:10.1177/014107688407701016

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…[1][2][3][4][5] Because of the origin of infection, various enteric flora are often detected, but rarely result in gas gangrene. 3 The gas in the present case may have come from the bowel lumen and from non-clostridial, gas-producing organisms.…”

Section: Discussionmentioning

confidence: 99%

“…Gastrointestinal perforation due to appendicitis, diverticulitis, or a carcinoma can cause retroperitoneal and psoas abscesses, which may extend down along the inguinal ligament, or through the femoral canal, sciatic foramen, and obturator foramen, resulting in emphysema and abscesses in the thigh and leg. [1][2][3][4][5] Because of the origin of infection, various enteric flora are often detected, but rarely result in gas gangrene. 3 The gas in the present case may have come from the bowel lumen and from non-clostridial, gas-producing organisms.…”

Section: Discussionmentioning

confidence: 99%

“…3 Emphysema and abscesses on the right R side of the patient are commonly due to perforation of the appendix, whereas those on the left side are due to diverticular disease. 1,[3][4][5] Previous studies have emphasised diagnostic problems, because of the absence of remarkable abdominal symptoms, which lead to misdiagnosis and delayed treatment and result in a high mortality rate. 1,3,5 Haiart et al 1 reported that unexplained groin and thigh symptoms should lead to suspicion of intestinal disorders in cases with fever and leukocytosis, especially in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] We treated a patient with thigh emphysema, which was caused by a retroperitoneal perforation of the appendix. Although correct diagnosis was delayed, the patient recovered uneventfully.…”

Section: Introductionmentioning

confidence: 99%

“…Groin and thigh symptoms are common musculoskeletal features; however, only rarely is a fatal abdominal disorder hidden without remarkable abdominal signs. [1][2][3][4][5] We treated a patient with thigh emphysema, which was caused by a retroperitoneal perforation of the appendix. Although correct diagnosis was delayed, the patient recovered uneventfully.…”

Section: Introductionmentioning

confidence: 99%

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Perforated Appendicitis Causing Thigh Emphysema: A Case Report

Ushiyama

Nakajima

Maeda

et al. 2005

J Orthop Surg (Hong Kong)

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We report a case of thigh emphysema resulting from perforated appendicitis. The patient was an 83-year-old man who had no apparent abdominal signs and was initially misdiagnosed as having psoas abscess. Magnetic resonance imaging of the pelvis revealed appendicitis, and a barium enema showed a leakage of enhanced contrast material from the appendix region down into the thigh. A retroperitoneal perforation of the retrocaecal appendix without peritonitis was diagnosed. The patient underwent an appendectomy and curettage of the retroperitoneal and psoas muscle spaces, as well as the thigh. He recovered gradually, though the abscess had extended into the hip joint and resulted in osteomyelitis, requiring an additional procedure of resection arthroplasty. The patient fully recovered with no signs of infection one year postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perforated Appendicitis Causing Thigh Emphysema: A Case Report

Ushiyama

Nakajima

Maeda

et al. 2005

J Orthop Surg (Hong Kong)

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Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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Although retroperitoneal or psoas abscess is an unusual clinical problem, the insidious and occult characteristics of this abscess sometimes cause diagnostic delays, resulting in considerably high morbidity and mortality. In particular, psoas abscess caused by perforated colon carcinoma is uncommon. We report a case of psoas abscess caused by a carcinoma of the cecum. A 72-year-old Japanese woman was admitted to our hospital, with pain in the right groin and buttock. The pain had appeared 6 months before admission, and the symptoms had then been relieved by oral antibiotics. On March 25, 1999, inflammatory signs in the right buttock indicated localized cellulitis, and incision and drainage was performed at a local hospital. The patient was referred to our hospital on the same day. On admission to our hospital, computed tomography (CT) scan revealed a thick right-sided colonic wall and enlargement of the right ileopsoas muscle. Barium enema and colonofiberscopy revealed an ulcerated tumor occupying the entire circumference of the cecum. A retroperitoneal abscess and fistula had been formed by the retroperitoneal perforation of cecum carcinoma: surgical resection was performed after remission of the local inflammatory signs. Operative findings indicated that the cancerous lesion and its surrounding tissues were firmly attached to the right iliopsoas and major psoas muscle, and en-bloc resection, including adjacent muscular tissue, was performed. The fact that carcinoma of the colon could be a cause of psoas abscess and cellulitis in the gluteal region should be considered when an unexplained psoas abscess is diagnosed.

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