Clinical signs of retroperitoneal abscess from colonic perforation

Mortality risk factor analysis in colonic perforation: would retroperitoneal contamination increase mortality in colonic perforation?

Purpose Colonic perforation is a lethal condition presenting high morbidity and mortality in spite of urgent surgical treatment. This study investigated the surgical outcome of patients with colonic perforation associated with retroperitoneal contamination. Methods Retrospective analysis was performed for 30 patients diagnosed with colonic perforation caused by either inflammation or ischemia...

Pneumoretroperitoneum from a gas-containing retroperitoneal abscess

A 57-year-old man with diabetes mellitus presented with abdominal pain, fever, and chills for 3 days. Laboratory examinations revealed leukocytosis, hyperglycemia, and decreased renal function (blood urea nitrogen: 53.0 mg/dL, creatinine: 2.9 mg/dL). An elevated serum level of HbA1c (18.0%) was also noted. A plain abdominal radiograph disclosed a large area of mottled air on the right side of t...

Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess

A rare case of a retroperitoneal rupture of the appendix is being reported here. A 53-year-old male presented to us with a right sided thigh abscess. There were not any abdominal complaints at presentation. There was continuous discharge after incision and drainage from the thigh. Isolation, in culture, of an enteric bacterium from the pus prompted an evaluation of the gastrointestinal tract as...

Spontaneous appendico-cutaneous fistula: an unusual presentation of retroperitoneal appendicular perforation associated with psoas abscess

Spontaneous appendico-cutaneous fistula is an extremely rare complication of appendicitis and only a few cases are reported in literature. We present one such case in a 65-year-old diabetic male who had recurrent atypical abdominal pain for 32 years. The patient also had recurrent right psoas abscess, which had failed to respond to a repeated surgical drainage, antibiotics and anti-tubercular t...

A Case of Retroperitoneal Abscess