TY - JOUR
TI - Fasciitis and Septic Shock Complicating Retrocecal Appendicitis
AU - Tsimogianni, Angeliki M.
AU - Flevari, Aikaterini
AU - Betrosian, Alex and
AU - Sarridou, Despoina
AU - Bakos, Dimitris
AU - Andrianakis, Ilias and
AU - Douzinas, Emmanouil
JO - The American Journal of the Medical Sciences
PY - 2012
VL - 343
TODO - 2
SP - 168-170
PB - Lippincott, Williams & Wilkins
SN - 0002-9629, 1538-2990
TODO - 10.1097/MAJ.0b013e3182318590
TODO - Abdomen; Necrotizing fascitis; Retrocecal appendix; Septic shock
TODO - 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.
ER -