Presentation
Fever and RIQ tenderness 10 days after laparoscopic appendectomy.
Patient Data
CT demonstrates a small hypoattenuating collection between surgical clips in the medial aspect of the cecum. There is a mild ring enhancement and prominent regional lymph nodes and inflammatory changes in the adjacent fat planes. Remainder of the exam is unremarkable.
Previous CT showing an enlarged appendix with an appendicolith.
Case Discussion
This case demonstrates an acute appendicitis treated with laparoscopic appendectomy and which evolved with a small intra-abdominal abscess in the surgery bed. This is a complication that has been observed more frequently in the laparoscopic approach than in the traditional surgery 1.