Appendicitis with psoas abscess successfully treated by laparoscopic surgery

Although acute appendicitis is a common disease, retroperitoneal abscesses are rarely observed. Here, we report a case consisting of a psoas abscess and cutaneous fistula caused by appendicitis. The patient was a 56-year-old male who was introduced to our institution due to an intractable right psoa...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-07, Vol.20 (25), p.8317-8319
Hauptverfasser: Otowa, Yasunori, Sumi, Yasuo, Kanaji, Shingo, Kanemitsu, Kiyonori, Yamashita, Kimihiro, Imanishi, Tatsuya, Nakamura, Tetsu, Suzuki, Satoshi, Tanaka, Kenichi, Kakeji, Yoshihiro
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container_end_page 8319
container_issue 25
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container_title World journal of gastroenterology : WJG
container_volume 20
creator Otowa, Yasunori
Sumi, Yasuo
Kanaji, Shingo
Kanemitsu, Kiyonori
Yamashita, Kimihiro
Imanishi, Tatsuya
Nakamura, Tetsu
Suzuki, Satoshi
Tanaka, Kenichi
Kakeji, Yoshihiro
description Although acute appendicitis is a common disease, retroperitoneal abscesses are rarely observed. Here, we report a case consisting of a psoas abscess and cutaneous fistula caused by appendicitis. The patient was a 56-year-old male who was introduced to our institution due to an intractable right psoas abscess. Imaging tests had been performed over the previous 3 years; however, clinicians could not find the origin of the abscess and failed to resolve the problem. A successful operation was performed via a laparoscopic approach, and 17 mo have passed without recurrence. The advantage of laparoscopic surgery is well understood in cases of appendicitis with abscesses. However, the indication for laparoscopic approach is not clear for retroperitoneal abscesses. From our experience, we can conclude that appendicitis with retroperitonealabscesses can be managed and treated using a laparoscopic approach.
doi_str_mv 10.3748/wjg.v20.i25.8317
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subjects abscess
Appendectomy - methods
Appendicitis
Appendicitis - complications
Appendicitis - diagnosis
Appendicitis - surgery
Case Report
Cutaneous Fistula - etiology
Cutaneous Fistula - surgery
Humans
Laparoscopic
Laparoscopy
Male
Middle Aged
Psoas
Psoas Abscess - diagnosis
Psoas Abscess - etiology
Psoas Abscess - surgery
surgery
Tomography, X-Ray Computed
Treatment Outcome
title Appendicitis with psoas abscess successfully treated by laparoscopic surgery
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