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Related Concept Videos

Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis-II: Diagnostic Studies and Management01:29

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Esophageal Perforation-I: Introduction01:22

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Updated: Mar 7, 2026

Posterior Approach for Debridement of the Psoas Abscess
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Perforated appendicitis presenting as a thigh abscess: a lethal combination.

S Naidoo1, R Du Toit1, A Bhyat1

  • 1Department of General Surgery, Kimberley Hospital Complex, Kimberley.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|February 28, 2017
PubMed
Summary
This summary is machine-generated.

Perforated appendicitis can present unusually, even as a thigh abscess. Advanced appendicitis remains dangerous despite surgical treatment, emphasizing prompt diagnosis for better outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute appendicitis typically presents with abdominal pain and resolves with timely surgical intervention.
  • Perforated appendicitis, especially retrocaecal, can lead to atypical presentations and complications.

Observation:

  • A rare case of perforated retrocaecal appendicitis presented as a right thigh abscess.
  • The patient lacked typical abdominal symptoms, delaying diagnosis.

Findings:

  • Despite appropriate surgical management, advanced appendicitis demonstrated a lethal potential.
  • The retrocaecal location and abscess formation contributed to the unusual clinical manifestation.

Implications:

  • Highlights the importance of considering unusual presentations for retrocaecal appendicitis.
  • Underscores the critical need for early diagnosis and intervention in advanced appendicitis cases to improve patient outcomes.