Hüseyin ÇETİN, Mehmet Fatih EKİCİ, Ali YILDIRIM, Sezgin ZEREN, Faik YAYLAK, Mustafa ALGIN

İliopsoas Apsesi ile Prezente Olan Retroçekal Perfore Apandisit: Vaka Sunumu

Perfore akut apandisit sonrası komplike olan karın içi apse oluşumu iyi bilinmektedir. Bununla birlikte, bu apselerin iliopsoas kasına lokalizasyonu nadirdir ve tanı ve tedavisi genellikle problemlidir ve gecikir. Bu yazıda, 10 gündür devam eden sağ inguinal ve lomber ağrı yakınması ile hastaneye yatırılan 59 yaşında bir hastayı sunuyoruz. Karın tomografisi ve MR ile iliopsoas apsesi tanısı alan hastada perkütan apse drenajı başarısız oldu. Daha sonra hastada akut karın tablosu gelişti. Ultrasonografi ile retroçekal apandisit teşhisi kondu. Acil laparotomi ve retroperitoneal apse drenajı yapıldı. Perofore retroçekal apandisit bazen karın ağrısına neden olmadan retroperitoneal apse ile ortaya çıkabilir. Bu nedenle, retroperitoneal enfeksiyonu düşündüren semptomları olan hastalarda, perfore apandisitten ciddi oranda şüphelenmek gerekir.

Anahtar Kelimeler:

retroçekal apandisit, acute abdomen, iliopsoas apsesi

Retrocecal Perforated Appendicitis Presenting with Iliopsoas Abscess: Case Report

Intra abdominal abscess formation complicating perforated acute appendicitis are well known. However, localization of these abscesses to the iliopsoas muscle is rare and its diagnosis and treatment is usually problematic and delayed. In this article, we present a 59-year-old patient who was hospitalized with the complaint of right inguinal and lumbar pain, which has been going on for 10 days. Percutaneous abscess drainage failed after the diagnosis of iliopsoas abscess by abdominal tomography and MRI. Subsequently, the patient developed acute abdomen; He was diagnosed with retrocecal appendicitis on ultrasonography. Emergency laparotomy and retroperitoneal abscess drainage was performed. Perforated retrocecal appendicitis can sometimes occur with retroperitoneal abscess without causing abdominal pain. Therefore, in patients with symptoms suggestive of retroperitoneal infection, it is necessary to seriously suspect perforated appendicitis.

Keywords:

retrocecal appendicitis, acute abdomen, iliopsoas absces,

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