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Ureteric obstruction as a complication to the appendicular abscess. Case report
S Dueholm1, P Bagi, M Nordsten
1Department of Surgical Gastroenterology, Gentofte University Hospital, Hellerup, Denmark.
Acta Chirurgica Scandinavica
|September 1, 1987
Summary
Appendiceal abscess can cause ureteric obstruction, requiring urinary tract decompression in some cases. Prompt appendectomy and abscess drainage ensure complete recovery.
Area of Science:
- Urology
- Gastroenterology
- Surgical Pathology
Background:
- Appendiceal abscesses are common surgical emergencies.
- Ureteral obstruction is a rare but serious complication.
Observation:
- Three patients presented with appendiceal abscess leading to right-sided ureteric obstruction.
- Two patients required temporary upper urinary tract decompression.
Findings:
- Combined appendectomy and abscess drainage resulted in complete recovery for all patients.
- Early intervention is crucial for managing this condition.
Implications:
- Clinicians should consider obstructive uropathy in appendiceal abscess cases, particularly with nonoperative management.
- Recognizing this association can prevent delayed diagnosis and improve patient outcomes.