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Primary retroperitoneal abscess extending to the calf.
Francesco Puccio1, Massimiliano Solazzo, Stefano Chiodini
1Department of Surgery, Manerbio Hospital, Brescia, Italy.
Archives of Surgery (Chicago, Ill. : 1960)
|December 21, 2005
Summary
A gas-producing retroperitoneal abscess caused severe pain and fever in a diabetic patient. Surgical drainage of the abscess led to a slow but steady recovery, highlighting the importance of timely intervention.
Area of Science:
- Medical Case Study
- Infectious Disease
- Surgical Management
Background:
- Diabetes mellitus can increase the risk of severe infections.
- Retroperitoneal abscesses are rare but serious intra-abdominal infections.
Observation:
- A 77-year-old male with diabetes presented with persistent lumbago, fever, and abdominal tenderness.
- CT scan revealed a large, gas-producing retroperitoneal abscess.
- Despite antibiotics, the patient developed thigh and calf swelling, indicating abscess extension.
Findings:
- Surgical exploration and complete evacuation of the retroperitoneal abscess were performed.
- Multiple incisions were necessary to drain pus from the thigh and calf.
- The patient experienced a slow but steady recovery post-operatively.
Implications:
- This case underscores the potential for extensive spread of retroperitoneal abscesses.
- Prompt surgical intervention is crucial for managing complex, gas-producing abscesses.
- Effective management requires a multidisciplinary approach involving antibiotics and surgical drainage.