Intra-abdominal abscess after appendectomy
Presentation
Fever and RIQ tenderness 10 days after laparoscopic appendectomy.
Patient Data
Age: 25
Gender: Male
From the case:
Intra-abdominal abscess after appendectomy
CT
CT Abdomen and pelvis
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Axial C+ portal venous phase
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.
From the case:
Intra-abdominal abscess after appendectomy
CT
CT Abdomen and pelvis (selected images) - 10 days before
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Coronal C+ portal venous phase
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.
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