Following the above CT and the diagnosis of appendicitis with abscess formation, the patient went to theatre for a laparoscopic appendicectomy with antibiotic cover.  A drain was left at the abscess site and the patient returned to the ward for analgesia and observation. In the following 48 hours, the patient deteriorated clinically and inflammatory markers continued to rise.  

A further CT abdomen and pelvis was requested;

 "Abscess noted on previous CT,  inflammatory markers still rising, drain in situ. pyrexial yesterday. ?collection remaining. on tazocin, but not improving"

Loading...