TY  - JOUR
T1  - A case of Perforated Retroperitoneal Appendicitis Mimicking Pyelonephritis
AU  - Cankorkmaz, Levent
AU  - Şalk, İsmail
AU  - Atalar, Mehmet
AU  - Köylüoğlu, Gökhan
PY  - 2024
DA  - June
Y2  - 2024
DO  - 10.33706/jemcr.1383925
JF  - Journal of Emergency Medicine Case Reports
PB  - Acil Tıp Uzmanları Derneği
WT  - DergiPark
SN  - 2149-9934
SP  - 32
EP  - 34
VL  - 15
IS  - 2
LA  - en
AB  - Introduction: 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 since a two days. The abdomen was soft but right costovertebral angle tenderness 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.
KW  - Retrocecal retroperitoneal appendicitis
KW  - perinephric collection
KW  - child
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UR  - https://doi.org/10.33706/jemcr.1383925
L1  - https://dergipark.org.tr/en/download/article-file/3507693
ER  -