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[Perivesical abscess secondary to ruptured appendicitis : a case report]
Masataka Kobayashi1, Kimito Osaka, Atsushi Fujikawa
1The Department of Urology, Yokohama City Minato Red Cross Hospital, Japan.
Hinyokika Kiyo. Acta Urologica Japonica
|April 8, 2010
Summary
A ruptured appendix caused a perivesical abscess in a 38-year-old man. Surgical intervention, including appendectomy and partial cystectomy, was successful. This case highlights secondary perivesical abscess as a complication of appendicitis.
Area of Science:
- Urology
- Gastroenterology
- Radiology
Background:
- Perivesical abscess is a rare but serious condition.
- Ruptured appendicitis can lead to intra-abdominal infections.
Observation:
- A 38-year-old male presented with fever and lower abdominal pain.
- CT and MRI revealed a perivesical abscess; cystoscopy showed normal bladder mucosa.
- Intraoperative findings identified the appendix within the abscess cavity.
Findings:
- Pathological analysis confirmed significant inflammation in perivesical tissues and the appendix.
- Retrospective MRI review showed a tubular structure connecting to the abscess.
- Final diagnosis: perivesical abscess secondary to ruptured appendicitis.
Implications:
- This case underscores the importance of considering ruptured appendicitis in the differential diagnosis of perivesical abscess.
- Accurate diagnosis and timely surgical management are crucial for favorable outcomes.
- Further discussion on diagnostic and therapeutic strategies is warranted.
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