@article{3152438,
    title = "Fasciitis and Septic Shock Complicating Retrocecal Appendicitis",
    author = "Tsimogianni, Angeliki M. and Flevari, Aikaterini and Betrosian, Alex and and Sarridou, Despoina and Bakos, Dimitris and Andrianakis, Ilias and and Douzinas, Emmanouil",
    journal = "The American Journal of the Medical Sciences",
    year = "2012",
    volume = "343",
    number = "2",
    pages = "168-170",
    publisher = "Lippincott, Williams & Wilkins",
    issn = "0002-9629, 1538-2990",
    doi = "10.1097/MAJ.0b013e3182318590",
    keywords = "Abdomen; Necrotizing fascitis; Retrocecal appendix; Septic shock",
    abstract = "Introduction: A case of fasciitis and septic shock complicating
retrocecal appendicitis is presented. Case report: A 52-year-old man
presented to the Emergency Department with lumbar pain, fever of recent
onset and subsequently developed septic shock attributed to fasciitis of
abdominal, flank and groin region. On intensive care unit, he was
managed with broad-spectrum intravenous antibiotics and surgical
debridement. An abdominal computed tomography scan confirmed the
findings of fasciitis and was negative for intra-abdominal pathology. In
the following days, an enterocutaneous fistula with foul smelling fluid
was noted. A new surgical exploration revealed the presence of a
ruptured retrocecal appendix, and right hemicolectomy was performed. The
postoperative period was long but uneventful. Conclusion: Retrocecal
appendicitis can rarely be presented as deteriorating
cellulitis-fasciitis in the right abdominal, flank or groin region, with
or without abdominal symptoms."
}