Perforated Retroperitoneal Appendicitis Presenting as Extensive Subcutaneous Emphysema of Abdominal and Chest Wall: An Unusual Presentation
Keywords:
Retroperitoneal Abscess, Acute Appendicitis, Subcutaneous Emphysema
Abstract
Acute appendicitis is a commonly encountered disease in surgical practice. Timely diagnosis and management prevents morbidity and mortality from this disease. Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. This atypical presentation is rare and required high index of suspicion. We present a case report of perforated retroperitoneal appendicitis, which presented to us with extensive subcutaneous emphysema of back and chest wall with no abdominal signs.
Downloads
Download data is not yet available.
References
1. Kawashima M , Hashimoto Y, Sudo T, Uemura K, Nakashima A, Sueda T, Murakami Y. A rare diagnostic challenge in acute appendicitis: a case report. Hiroshima J Med Sci. 2012 Mar;61(1):19-21. [PubMed]
2. Wani NA, Farooq M, Gojwari T, Kosar T. Perinephric abscess caused by retrocecal appendix: MDCT demonstration. Urol Ann. 2010 Jan-Aprl;2(10):29-31.
3. El-Masry NS, Theodorou NA. Retroperitoneal perforation of the appendix presenting as right thigh abscess. Int Surg. 2002 April-Jun;87(2):61–4. [PubMed]
4. Hsieh CH, Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ. Extensive retroperitoneal and right thigh abscess in a patient with ruptured retrocecal appendicitis: an extremely fulminant form of a common disease. World J Gastroenterol. 2006 Jan;12(3):496–9.
5. Tomasoa NB, Ultee JM, Vrouenraets BC. Retroperitoneal abscess and extensive subcutaneous emphysema in perforated appendicitis: A case report. Acta Chir Belg. 2008 Jul-Aug;108(4):457–9. [PubMed]
6. Gurleyik G, Gurleyik E. Age-related clinical features in older patients with acute appendicitis. Eur J Emerg Med. 2003 Sep;10(3):200-3.
7. Yildiz M, Karakayali AS, Ozer S, Ozer H, Demir A, Kaptanoglu B. Acute appendicitis presenting with abdominal wall and right groin abscess: a case report. World J Gastroenterol. 2007 Jul 14;13(26):3631-3. [PubMed]
8. Saddique M, Iqbal P, Rajput A, Kumar R. Atypical presentation of appendicitis: diagnosis and management. J Surg Pak. 2009 Oct-Dec; 14 (4):157-60. [PubMed]
9. Lal S, Gupta, Gaharwar APS, Shrivastava GP. Thigh abscess is an unusual presentation of the perforation of retroperitoneal appendicitis. Journal of Clinical and Diagnostic Research [serial online] 2012 May; 6:457-9.
10. Ishigami K. Khanna G. Samuel I. Dahmoush L. Sato Y. Gasforming abdominal wall abscess : an unusual manifestation of a perforated retroperitoneal appendicitis which extended through the superior lumbar triangle. Emerg Radiol, 2004, 10: 207-29. [PubMed]
11. El-Masry NS1, Theodorou NA.Retroperitoneal perforation of the appendix presenting as right thigh abscess: Int Surg. 2002 Apr-Jun;87(2):61-4. [PubMed]
12. Edwards JD, Eckhauser FE. Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh. Dis Colon Rectum, 1986, 29, 456-458. [PubMed]
13. Gutknecht DR. Retroperitoneal abscess presenting as emphysema of the thigh. J Clin Gastro-enterol, 1997, 25 : 685-687. [PubMed]
14. Sharma SB,Gupta V, Sharma SC. Acute appendicitis presentingas thigh abscess in a child: a case report. Pediatr Surg Int, 2005, 21 : 298-300.
2. Wani NA, Farooq M, Gojwari T, Kosar T. Perinephric abscess caused by retrocecal appendix: MDCT demonstration. Urol Ann. 2010 Jan-Aprl;2(10):29-31.
3. El-Masry NS, Theodorou NA. Retroperitoneal perforation of the appendix presenting as right thigh abscess. Int Surg. 2002 April-Jun;87(2):61–4. [PubMed]
4. Hsieh CH, Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ. Extensive retroperitoneal and right thigh abscess in a patient with ruptured retrocecal appendicitis: an extremely fulminant form of a common disease. World J Gastroenterol. 2006 Jan;12(3):496–9.
5. Tomasoa NB, Ultee JM, Vrouenraets BC. Retroperitoneal abscess and extensive subcutaneous emphysema in perforated appendicitis: A case report. Acta Chir Belg. 2008 Jul-Aug;108(4):457–9. [PubMed]
6. Gurleyik G, Gurleyik E. Age-related clinical features in older patients with acute appendicitis. Eur J Emerg Med. 2003 Sep;10(3):200-3.
7. Yildiz M, Karakayali AS, Ozer S, Ozer H, Demir A, Kaptanoglu B. Acute appendicitis presenting with abdominal wall and right groin abscess: a case report. World J Gastroenterol. 2007 Jul 14;13(26):3631-3. [PubMed]
8. Saddique M, Iqbal P, Rajput A, Kumar R. Atypical presentation of appendicitis: diagnosis and management. J Surg Pak. 2009 Oct-Dec; 14 (4):157-60. [PubMed]
9. Lal S, Gupta, Gaharwar APS, Shrivastava GP. Thigh abscess is an unusual presentation of the perforation of retroperitoneal appendicitis. Journal of Clinical and Diagnostic Research [serial online] 2012 May; 6:457-9.
10. Ishigami K. Khanna G. Samuel I. Dahmoush L. Sato Y. Gasforming abdominal wall abscess : an unusual manifestation of a perforated retroperitoneal appendicitis which extended through the superior lumbar triangle. Emerg Radiol, 2004, 10: 207-29. [PubMed]
11. El-Masry NS1, Theodorou NA.Retroperitoneal perforation of the appendix presenting as right thigh abscess: Int Surg. 2002 Apr-Jun;87(2):61-4. [PubMed]
12. Edwards JD, Eckhauser FE. Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh. Dis Colon Rectum, 1986, 29, 456-458. [PubMed]
13. Gutknecht DR. Retroperitoneal abscess presenting as emphysema of the thigh. J Clin Gastro-enterol, 1997, 25 : 685-687. [PubMed]
14. Sharma SB,Gupta V, Sharma SC. Acute appendicitis presentingas thigh abscess in a child: a case report. Pediatr Surg Int, 2005, 21 : 298-300.
CITATION
DOI: 10.17511/ijmrr.2014.i05.18
Published: 2014-10-31
How to Cite
1.
Kumar Patel V, Gaharwar A, S Batra R, Patel U. Perforated Retroperitoneal Appendicitis Presenting as Extensive Subcutaneous Emphysema of Abdominal and Chest Wall: An Unusual Presentation. Int J Med Res Rev [Internet]. 2014Oct.31 [cited 2024Dec.23];2(5):511-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/147
Section
Case Report
OAI - Open Archives Initiative
