Post appendectomy collection with percutaneous drainage

Case contributed by Dr Henry Knipe

Presentation

Ongoing pain six days post appendectomy.

Patient Data

Age: 35 years
Gender: Male

Inferior to the caecum there is a thin walled peripherally enhancing with central low density (HU 24 ) collection. This demonstrates a locule of gas and is including with a post-operative collection.

There is inflammatory phlegmon surrounding the caecum at the site of previous appendicectomy. Inflammatory fat stranding with volume of fluid tracks inferiorly into the pelvis and surrounds the sigmoid colon.

Into the right iliac fossa collection from a anterolateral approach was inserted and 8 Fr locking catheter under local anaesthesia with aseptic technique. Mildly bloodstained haemoserous pus was aspirated. 

Case Discussion

No growth was demonstrated on culture of the pelvic collection aspiration. The drain tube was removed two days later and the patient discharged. 

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Case information

rID: 52391
Case created: 6th Apr 2017
Last edited: 6th Apr 2017
Inclusion in quiz mode: Excluded

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