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Appendiceal abscess masquerading as acute urinary retention in children
Urology
|March 1, 1985
Summary
Appendiceal abscesses in children can cause acute urinary retention and pelvic masses. Prompt diagnosis and surgical intervention are crucial for restoring normal bladder function.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Appendicitis is a common surgical emergency in children.
- Acute urinary retention (AUR) is a rare presentation of appendicitis.
- Pelvic abscess formation can complicate appendicitis.
Observation:
- Two pediatric cases presented with AUR and persistent pelvic masses post-bladder decompression.
- Initial evaluations revealed large pelvic abscesses secondary to ruptured appendix.
- Appendiceal abscess presenting as AUR in children is exceptionally rare, with only 7 prior reports.
Findings:
- Comprehensive evaluation including history, physical exam, labs, and imaging (radiography, ultrasound) is vital for diagnosis.
- Surgical intervention is the definitive treatment for appendiceal abscess.
- Successful surgical management led to the restoration of normal voiding in both patients.
Implications:
- Highlights the importance of considering appendiceal abscess in pediatric patients with AUR and pelvic masses.
- Emphasizes the diagnostic challenges and rarity of this presentation.
- Underscores the effectiveness of prompt surgical treatment in resolving urinary retention and improving patient outcomes.