1. Appendicitis with psoas abscess successfully treated by laparoscopic surgery.
- Author
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Otowa Y, Sumi Y, Kanaji S, Kanemitsu K, Yamashita K, Imanishi T, Nakamura T, Suzuki S, Tanaka K, and Kakeji Y
- Subjects
- Appendicitis complications, Appendicitis diagnosis, Cutaneous Fistula etiology, Cutaneous Fistula surgery, Humans, Male, Middle Aged, Psoas Abscess diagnosis, Psoas Abscess etiology, Tomography, X-Ray Computed, Treatment Outcome, Appendectomy methods, Appendicitis surgery, Laparoscopy, Psoas Abscess surgery
- Abstract
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 retroperitoneal abscesses can be managed and treated using a laparoscopic approach.
- Published
- 2014
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