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The ectopic appendicolith from perforated appendicitis as a cause of tubo-ovarian abscess

Rajashree C Vyas1, Corey Sides, Deborah J Klein

  • 1University of Rochester Medical Center, 610 Elmwood Avenue, Rochester, NY 14642, USA. Rajashree_Vyas@URMC.Rochester.edu

Pediatric Radiology
|May 23, 2008
PubMed

Insights

A rare complication of perforated appendicitis, a tubo-ovarian abscess, occurred due to appendicolith migration. This case highlights unusual CT findings of appendicitis complications.

Area of Science:

  • Pediatric Surgery
  • Radiology
  • Gynecologic Oncology

Background:

  • Acute appendicitis is a frequent surgical cause of abdominal pain in children.
  • Atypical presentations occur in one-third of pediatric patients.
  • Complications include perforation, abscess, peritonitis, and bowel obstruction.

Observation:

  • A tubo-ovarian abscess developed in a patient post-appendectomy for perforated appendicitis.
  • An appendicolith migrated into the right fallopian tube.
  • The retained appendicolith caused obstruction and dilation of the fallopian tube.

Findings:

  • Contrast-enhanced CT revealed the appendicolith within the fallopian tube.
  • CT demonstrated features of tubo-ovarian abscess secondary to appendicolith migration.
  • This represents an unusual complication of perforated appendicitis.

Implications:

  • Highlights a rare but serious complication of perforated appendicitis.
  • Emphasizes the importance of considering appendiceal complications in gynecologic presentations.
  • Underscores the utility of contrast-enhanced CT in diagnosing unusual appendicitis sequelae.

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