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Appendicitis Presenting As Cellulitis of the Right Leg
Leonie T van Hulsteijn1, J Sven D Mieog2, Maarten H T Zwartbol3
1Department of Internal Medicine, Haga Hospital, The Hague, The Netherlands.
The Journal of Emergency Medicine
|September 24, 2016
Summary
Intra-abdominal infections can mimic thigh abscesses. Emergency physicians should consider advanced imaging for unexplained leg infections to ensure timely diagnosis and treatment, preventing potential complications.
Area of Science:
- Emergency Medicine
- Infectious Diseases
- Radiology
Background:
- Intra-abdominal infections can present atypically as superficial infections.
- Skin and soft tissue infections in the thigh may originate from deeper abdominal sources.
Observation:
- A 73-year-old woman presented with a right leg skin infection that worsened despite antibiotic treatment.
- Radiologic imaging revealed a retroperitoneal appendicular abscess along the iliopsoas muscle.
Findings:
- The patient had no apparent abdominal symptoms, highlighting the challenge in diagnosis.
- Surgical intervention led to complete recovery.
Implications:
- Prompt anatomic imaging is crucial for patients with unexplained thigh abscesses or skin infections.
- Early diagnosis of abdominal pathology presenting as leg infections can prevent treatment delays in the emergency department.
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