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A Schloffer tumor treated 27 years after appendectomy
Masao Ogawa1, Shoji Kubo, Takatsugu Yamamoto
1Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University, Graduate School of Medicine, Japan. m0035881@msic.med.osaka-cu.ac.jp
Osaka City Medical Journal
|April 25, 2008
Summary
A rare late complication of appendectomy, Schloffer tumor (abdominal wall abscess), can develop decades after surgery. Early diagnosis and surgical excision are key to treating this persistent inflammatory condition.
Area of Science:
- Surgical Pathology
- Abdominal Surgery
- Infectious Disease
Background:
- Appendectomy complications typically manifest early post-operation.
- Late complications are less common but can be significant.
Observation:
- A 51-year-old woman presented with a painful abdominal mass 27 years after appendectomy.
- Imaging revealed an abdominal wall abscess originating from the appendectomy scar.
- Bacteroides fragilis was identified in the abscess contents.
Findings:
- Surgical excision confirmed a thick-walled abscess extending through abdominal wall layers.
- Pathology showed diffuse inflammation with neutrophils and plasma cells.
- The abscess did not communicate with intra-abdominal organs.
Implications:
- Schloffer tumor represents a rare, delayed complication of appendectomy.
- Awareness of this entity is crucial for timely diagnosis and treatment.
- Prompt surgical intervention is effective once diagnosed.
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