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Sacro-iliac osteomyelitis in a 13 year old boy following perforated appendicitis

Sophie Whelan-Johnson1, John Isaacs, Rupert D Pullan

  • 1South Devon Healthcare NHS Foundation Trust. s.whelan-johnson@nhs.net

Journal of Pediatric Surgery
|May 25, 2013
PubMed

Insights

Appendicitis surgery can lead to rare complications. This case highlights sacro-iliitis and bone infection after appendectomy in a pediatric patient.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Appendicitis is a frequent cause of acute abdominal pain in children.
  • Appendectomy (open or laparoscopic) is the standard treatment.
  • Known complications include wound infection, abscess, and bowel obstruction.

Observation:

  • A 13-year-old boy underwent open appendectomy for perforated appendicitis.
  • He developed right sacro-iliitis and iliac bone osteomyelitis post-operatively.
  • This represents a rare post-appendectomy complication.

Findings:

  • The patient presented with symptoms of sacro-iliitis and osteomyelitis.
  • Diagnostic workup confirmed the rare bone and joint infection.
  • The condition developed following an open appendectomy.

Implications:

  • Highlights the importance of considering rare complications after appendectomy.
  • Suggests potential for deep-seated infections beyond typical surgical site infections.
  • Emphasizes the need for vigilance in diagnosing unusual presentations in pediatric surgical patients.

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