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Rectus sheath abscess after laparoscopic appendicectomy

Vishwanath Golash1

  • 1Department of Surgery, Sultan Qaboos Hospital, P. O. Box 98, Salalah - 211, Sultanate of Oman.

Journal of Minimal Access Surgery
|December 3, 2010
PubMed

Insights

A rectus sheath abscess, a rare complication, occurred three weeks after laparoscopic appendicectomy. This surgical site infection may result from secondary infection of a rectus sheath hematoma.

Area of Science:

  • Surgical complications
  • Minimally invasive surgery
  • Infectious disease

Background:

  • Laparoscopic appendicectomy is a common procedure.
  • Potential complications include wound infection, hematoma, and abscess.
  • Existing literature does not report rectus sheath abscess post-laparoscopic appendicectomy.

Observation:

  • A case of rectus sheath abscess is described.
  • The abscess developed three weeks after laparoscopic appendicectomy.
  • This complication was not previously reported in relation to this procedure.

Findings:

  • The rectus sheath abscess was likely caused by secondary infection of a hematoma.
  • Bleeding into the rectus sheath, potentially from inferior epigastric artery damage or muscle tear, may precede abscess formation.
  • This represents a novel complication of laparoscopic appendicectomy.

Implications:

  • Highlights a previously undocumented complication of laparoscopic appendicectomy.
  • Suggests vigilance for rectus sheath hematoma and subsequent infection.
  • May inform surgical technique and post-operative monitoring protocols.
Keywords:
Appendicetomylaparoscopyrectus sheath abscess

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