A Case of Perforated Retroperitoneal Appendicitis Mim icking Pyelonephritis

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dc.authoridCANKORKMAZ, LEVENT/0000-0003-1525-1470
dc.authoridKoyluoglu, Gokhan/0000-0002-1140-169X
dc.authoridSalk, Ismail/0000-0002-5156-6923
dc.contributor.authorCankorkmaz, Levent
dc.contributor.authorSalk, Ismail
dc.contributor.authorAtalar, Mehmet H.
dc.contributor.authorKoyluoglu, Gokhan
dc.date.accessioned2024-10-26T18:05:39Z
dc.date.available2024-10-26T18:05:39Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractIntroduction: Appendicitis is one of the most commonly diagnosed surgical diseases in childhood with emergency abdominal pain. Retrocecal retroperitoneal appendicitis is uncommon and potentially difficult to diagnose. This condition might present with atypical clinical, and radiological signs. Here, we present a patient with perforated retrocecal appendicitis in whom the clinical findings mimicked acute pyelonephritis. Case Report: A 3-year-old boy presented with right flank pain, fever, and vomiting for two days. The abdomen was soft but the right costovertebral angle tenderness was positive. There was pyuria. The clinical impression was pyelonephritis. Ultrasonography showed perirenal fluid collection but did not show any collections pericecal area. In the Multi-detector CT (MDCT) MDCT a long inflamed retrocecal retroperitoneal appendix was seen with surrounding inflammation that extended to anterior pararenal space, and retroperitoneal air. At surgery, there was retrocecal retroperitoneal appendicitis with perforation and retroperitoneal collection. Appendectomy and drainage were performed. Conclusions: Patients with retroperitoneal appendicitis is that these patients often present with atypical and less severe abdominal complaints. In this situation, MDCT could be a rapid and efficient tool for localizing the appendix and for the differential diagnosis.
dc.identifier.doi10.33706/jemcr.1383925
dc.identifier.endpage34
dc.identifier.issn2149-9934
dc.identifier.issue2
dc.identifier.startpage32
dc.identifier.urihttps://doi.org/10.33706/jemcr.1383925
dc.identifier.urihttps://hdl.handle.net/20.500.12418/29112
dc.identifier.volume15
dc.identifier.wosWOS:001282321600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherEmergency Medicine Physicians Assoc Turkey
dc.relation.ispartofJournal of Emergency Medicine Case Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRetrocecal retroperitoneal appendicitis
dc.subjectperinephric collection
dc.subjectchild
dc.titleA Case of Perforated Retroperitoneal Appendicitis Mim icking Pyelonephritis
dc.typeArticle

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