Retroperitoneal abscess as a complication of retrocecal acute appendicitis, perforated into the peritoneal cavity and presenting as a perforation of the digestive tract – a case report

Piotr Puchalski, Wojciech Jagielski, Andrzej Żyluk


We report the case of a retroperitoneal abscess which developed within 2 weeks after an episode of retrocecally localized acute appendicitis. The abscess perforated into the pritoneal cavity, which clinically and radiologically mimicked perforation of the digestive tract and required surgical intervention. Intraoperatively, a correct diagnosis was made and adequate treatment was applied consisting in the evacuation and drainage of the abscess, as well as resection of remnants of the appendix, resulting in the recovery of the patient. Culture of the pus taken from the abscess showed no bacterial growth. The paper discusses some atypical aspects of the clinical course in the presented case.

Keywords: retroperitoneal abscess; acute appendicitis; complications; gas in the peritoneal cavity.


ropień zaotrzewnowy; ostre zapalenie wyrostka robaczkowego; powikłania; gaz w jamie otrzewnowej

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Copyright (c) 2017 Piotr Puchalski

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