Pelvic collections after appendicectomy

Case contributed by Dr Vikas Shah

Presentation

Perforated acute appendicitis followed by appendicectomy 7 days earlier. Now has global tenderness and raised inflammatory markers.

Patient Data

Age: 35 years
Gender: Female
CT

CT abdomen and pelvis

Posteromedial and inferior to the appendicectomy clips, there is a 50 mm fluid density collection with enhancing margins. Posterior to the uterine cervix, there is a 30 mm collection.

Case Discussion

Collections identified a few days after bowel surgery may be due to leaks from anastomoses, evolution of haematomas, or from undrained pockets of infected fluid which have matured.

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Case information

rID: 55503
Case created: 10th Sep 2017
Last edited: 11th Sep 2017
Tag: abdorad
Inclusion in quiz mode: Included

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