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Uterine abscess as an appendicitis complication: a case report
Oğuz Lafcı1, Elif Ergün1, Hasan Yiğit1
1University of Health Sciences, Ankara Training and Research Hospital, Radiology Department, Ankara, TURKEY.
Journal of Medical Imaging and Radiation Sciences
|March 9, 2022
Summary
This case highlights a rare complication of acute appendicitis: an abscess extending to the uterine cavity. Multimodal imaging, particularly MRI, is crucial for diagnosing such complex cases and guiding conservative treatment.
Area of Science:
- Radiology
- Gastroenterology
- Gynecology
Background:
- Acute appendicitis is a common surgical emergency.
- Rarely, appendicitis can lead to fistulas or abscesses involving adjacent organs.
Observation:
- An 83-year-old woman presented with complicated appendicitis and an abscess involving the adnexal region and uterine cavity.
- Diagnosis was established using ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI).
Findings:
- Multimodal imaging confirmed a complex abscess formation.
- The patient was successfully treated conservatively with percutaneous drainage and antibiotics.
Implications:
- Physicians and radiologists must consider rare appendicitis complications.
- MRI is valuable for differentiating complex fluid collections like abscesses.
