Primary osteomyelitis of the acetabulum resulting in septic arthritis of the hip and obturator internus abscess diagnosed as acute appendicitis.
The misdiagnosis of acute appendicitis is not uncommon. Rarely does infection of the triradiate cartilage imitate this entity. This case highlights an uncommon presentation of acetabular osteomyelitis as acute appendicitis and the severity of its sequelae. Like septic arthritis of the hip, acute appendicitis overtreatment is acceptable in part because of the complications resulting from delayed diagnosis and treatment. However, this case demonstrates the need to consider pelvic osteomyelitis and peripelvic infection in the differential diagnosis of appendicitis.
Scillia
Anthony
A
Department of Orthopaedics, St. Joseph's Regional Medical Center, Paterson, NJ 07503, USA.
Cox
Garrick
G
Milman
Edward
E
Kaushik
Ashlesha
A
Strongwater
Allan
A
D000038:Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D000077:Acetabulum / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017773:Pelvic Floor / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed