Perforation of a retrocaecal appendix presenting clinically as a right lumbar abscess.
Presentations of acute appendicitis represent an ongoing challenge to surgeons. This case of retrocaecal perforated appendicitis presented clinically as a right lumbar abscess, with the concomitant new diagnosis of type 2 diabetes mellitus in a 66-year-old male. This case emphasises the importance of an abdominal CT scan in any patient presenting with unusual sepsis near the abdomen.
Fanning
D M
DM
Department of Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland.
Barry
M
M
O'Brien
G C
GC
Leahy
A L
AL
D000038:Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000368:Aged; D001064:Appendicitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002481:Cellulitis / Q000175:diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis; D003937:Diagnosis, Differential; D004646:Emphysema / Q000175:diagnosis; D005218:Fat Necrosis / Q000175:diagnosis; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D014057:Tomography, X-Ray Computed