The occurrence of an abdominal wall abscess 11 years after appendectomy: report of a case.

Abstract:

:Most complications after appendectomy occur within 10 days; however, we report herein the unusual case of a patient in whom a wound abscess was detected more than 10 years after an appendectomy. A 26-year-old woman presented to our hospital with nausea and vomiting, pain, and a mass in the right lower abdominal wall. She had undergone an appendectomy 11 years previously. Physical examination revealed a tender mass, 5 cm in diameter, under the appendectomy scar. An abdominal ultrasonography demonstrated a low-echoic mass lesion measuring 9.0 x 5.0 x 2.0 cm. Incision of the connective tissue revealed about 3 ml of cream-colored and odorless fluid in the abscess cavity. Fistulography revealed an abscess cavity not communicating with the bowel lumen. Floss was discovered in the connective tissue and removed. Debridement of the abscess wall was performed and a piece of the wall was sent for histologic examination. Pathological examination revealed panniculitis of the subcutaneous tissue, and panniculitis with granulation and granuloma of the abscess wall. This case report demonstrates that a preoperative diagnosis should be based not on one finding, but on all findings collected, inclusively.

journal_name

Surg Today

journal_title

Surgery today

authors

Matsuda K,Masaki T,Toyoshima O,Ono M,Muto T

doi

10.1007/BF02482790

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

931-4

issue

9

eissn

0941-1291

issn

1436-2813

pii

10.1007/BF02482790

journal_volume

29

pub_type

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