Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle

Kousei Ishigami; Geetika Khanna; Isaac Samuel; Laila Dahmoush; Yutaka Sato

doi:10.1007/s10140-003-0314-3

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Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle

Journal article

Peer reviewed

Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle

Kousei Ishigami, Geetika Khanna, Isaac Samuel, Laila Dahmoush and Yutaka Sato

Emergency radiology, Vol.10(4), pp.207-209

02/2004

DOI: 10.1007/s10140-003-0314-3

PMID: 15290493

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Abstract

We present a case of an extensive gas-forming abdominal wall abscess secondary to ruptured retroperitoneal appendicitis in a diabetic patient. Computed tomography (CT) demonstrated a retroperitoneal abscess extending to the abdominal subcutaneous tissue through the superior lumbar triangle pathway, a known anatomical defect of the lumbar musculature. This case not only represents an unusual manifestation of acute appendicitis, but also alerts us to the importance of anatomical considerations in the imaging interpretation of disease extent. The applied anatomy of the lumbar triangle as a conduit of intra-abdominal and retroperitoneal processes into the abdominal wall is reviewed.

Medicine

Retroperitoneal abscess

Lumbar triangle

Computed tomography

Appendicitis

Details

Title: Subtitle: Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle
Creators: Kousei Ishigami - Department of Radiology University of Iowa Healthcare Center 3885 JPP, 200 Hawkins Drive Iowa City IA 52242-1077 USA
Geetika Khanna - Department of Radiology University of Iowa Healthcare Center 3885 JPP, 200 Hawkins Drive Iowa City IA 52242-1077 USA
Isaac Samuel - Department of Surgery University of Iowa Healthcare Center 200 Hawkins Drive Iowa City IA 52242-1077 USA
Laila Dahmoush - Department of Pathology University of Iowa Healthcare Center 200 Hawkins Drive Iowa City IA 52242-1077 USA
Yutaka Sato - Department of Radiology University of Iowa Healthcare Center 3885 JPP, 200 Hawkins Drive Iowa City IA 52242-1077 USA
Resource Type: Journal article
Publication Details: Emergency radiology, Vol.10(4), pp.207-209
Publisher: Springer-Verlag; Berlin/Heidelberg
DOI: 10.1007/s10140-003-0314-3
PMID: 15290493
ISSN: 1070-3004
eISSN: 1438-1435
Language: English
Date published: 02/2004
Academic Unit: Radiology; Stead Family Department of Pediatrics; Pathology; Surgery; Urology
Record Identifier: 9984047739902771

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