[Pre-peritoneal bisaccular umbilical and subcutaneous abscess after laparoscopic appendectomy].
Laparoscopic surgery has gained much interest since its advent the late eighties. A 36-year-old patient underwent laparoscopic appendicectomy via the transumbilical route. She was rehospitalized three times thereafter for subumblical pain. At day +48, an abscess was evacuated at the point of the umbilical trocar insertion. This hour-glass shaped abscess had a preperitoneal and subcutaneous localization, blocked by the epiploic reaction. The infection this patient developed is an unusual clinical finding as pain was localized at a distance. The umbilical site and the preperitoneal subcutaneous nature of the abscess are also unusual. This case emphasizes the gravity of post-operative abscess of the abdominal wall and the necessity for adequate prophylaxy.
Service de chirurgie Viscérale et Thoracique, Hôpital R. Ballanger, Aulnay-Sous-Bois.
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Habib
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Elhadad
D018784:Abdominal Abscess / Q000209:etiology* / Q000601:surgery; D000328:Adult; D001062:Appendectomy / Q000009:adverse effects*; D004322:Drainage; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010149:Postoperative Pain / Q000209:etiology; D010532:Peritoneal Diseases / Q000209:etiology* / Q000601:surgery; D012871:Skin Diseases / Q000209:etiology* / Q000601:surgery; D013290:Streptococcal Infections / Q000601:surgery; D013291:Streptococcus / Q000145:classification; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery; D014472:Umbilicus / Q000473:pathology*
Abcès ombilical bisacculaire pré-péritonéal et sous-cutané après coelio-appendicectomie.