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Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh
Diseases of the Colon and Rectum
|July 1, 1986
Abstract:
Retroperitoneal abscesses may develop insidiously, resulting in delayed diagnosis with significant morbidity and mortality. Subcutaneous emphysema of the thigh may be a late manifestation of this process, and often heralds a poor prognosis because of associated myonecrosis and fulminant sepsis. The presentation and clinical course of such a patient is summarized, and the relevant anatomy of the retroperitoneal spaces that predisposes to this condition is described.
Insights
Retroperitoneal abscesses can lead to delayed diagnosis and poor outcomes. Subcutaneous emphysema of the thigh indicates a serious complication, often linked to myonecrosis and sepsis.
Area of Science:
- Medical imaging
- Surgical pathology
- Anatomy
Background:
- Retroperitoneal abscesses present diagnostic challenges due to insidious onset.
- Delayed diagnosis correlates with increased morbidity and mortality.
Observation:
- Subcutaneous emphysema of the thigh as a late manifestation.
- Association with myonecrosis and fulminant sepsis.
Findings:
- The case highlights the clinical course of a patient with this condition.
- Relevant retroperitoneal anatomy predisposing to the spread of infection is detailed.
Implications:
- Early recognition of thigh subcutaneous emphysema is crucial for prompt intervention.
- Understanding retroperitoneal spaces aids in predicting and managing infection spread.