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CASE REPORT
Year : 2010  |  Volume : 2  |  Issue : 1  |  Page : 29-31

Perinephric abscess caused by ruptured retrocecal appendix: MDCT demonstration


Department of Radiology, Sher-I-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, J&K, India

Correspondence Address:
Nisar Ahmad Wani
SR Hostel, Room no F19/C, Sher-I-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, J&K
India
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DOI: 10.4103/0974-7796.62923

PMID: 20842255

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Acute appendicitis may occasionally become extraordinarily complicated and life threatening yet difficult to diagnose. One such presentation is described in a 60-year-old man who was brought to the hospital due to right lumbar pain and fever for the last 15 days. Ultrasonography showed a right perinephric gas and fluid collection. Abdominal computed tomography with multidetector-row CT (MDCT) revealed gas-containing abscess in the right retroperitoneal region involving the perinephric space, extending from the lower pole of the right kidney up to the bare area of the liver. Inflamed retrocecal appendix was seen on thick multiplanar reformat images with its tip at the lower extent of the abscess. Laparotomy and retroperitoneal exploration were performed immediately and a large volume of foul smelling pus was drained. A ruptured retrocecal appendix was confirmed as the cause of the abscess.


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