title: Acute appendicitis presenting as thigh abscess in a child: a case report.
abstract: A case of retrocecal appendicitis is described in a 6-year-old male child who presented with thigh abscess. The presence of a positive psoas stretch test, feculent discharge, an enteric growth on bacteriological examination, and intraabdominal fluid collection on abdominal ultrasound provided clues to the presence of an intraabdominal source of sepsis. Laparotomy revealed a perforated retrocecal appendix with surrounding collection communicating into the thigh. Appendectomy with drainage of retroperitoneal and thigh collections under adequate antibiotic coverage resulted in a satisfactory recovery. We describe our experience with the present case and discuss the pertinent literature.
authors.affiliation: Department of Neonatal and Pediatric Surgery, SMS Medical College, S.P. Mother and Child Health Institute, Jaipur, 302004 Rajasthan, India.
authors.forename: S B
authors.initials: SB
authors.lastname: Sharma
authors.forename: Vipul
authors.initials: V
authors.lastname: Gupta
authors.forename: S C
authors.initials: SC
authors.lastname: Sharma
mesh_terms: D000038:Abscess / Q000209:etiology*; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002648:Child; D006801:Humans; D008297:Male; D013848:Thigh