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Perforated retrocecal appendicitis presenting with lung abscess-A case report.
Fazel Rahman Faizi1, Farhad Farzam1
1Radiology Department, Kabul University of Medical Sciences, Aliabad, Jamal Mina, Kabul 1006, Afghanistan.
Radiology Case Reports
|August 22, 2022
Summary
Retrocecal appendicitis, a rare condition, can lead to serious complications like lung abscesses. This case highlights a 15-year-old with a lung abscess secondary to perforated retrocecal appendicitis, emphasizing the need for prompt diagnosis.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Gastroenterology
Background:
- Retrocecal appendicitis often presents atypically, delaying diagnosis and increasing complication risks.
- Lung abscesses are rare but severe complications of intra-abdominal infections.
Observation:
- A 15-year-old male presented with chest pain, cough, fever, and abdominal pain.
- CT revealed a calcified collection in the right iliac fossa extending retroperitoneally to the right lung base, forming a cavitary lesion.
Findings:
- Diagnosis of perforated retrocecal appendicitis with extensive retroperitoneal and right lung abscesses.
- Successful surgical management included appendectomy and drainage of abscesses.
Implications:
- This case underscores the potential for perforated retrocecal appendicitis to cause distant abscesses, including in the lung.
- Clinicians should consider retrocecal appendicitis in septic patients with unexplained thoracoabdominal infectious symptoms.
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