Τίτλος:
Fasciitis and Septic Shock Complicating Retrocecal Appendicitis
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Tsimogianni, Angeliki M.
Flevari, Aikaterini
Betrosian, Alex and
Sarridou, Despoina
Bakos, Dimitris
Andrianakis, Ilias and
Douzinas, Emmanouil
Περιοδικό:
The American Journal of the Medical Sciences
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
Abdomen; Necrotizing fascitis; Retrocecal appendix; Septic shock
DOI:
10.1097/MAJ.0b013e3182318590
