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An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis

Year 2016, Volume: 3 Issue: 5, 236 - 8, 15.05.2016

Abstract

A 14 year-old male child underwent appendectomy, and partial omentectomy with the indication of perforated appendicitis. Despite antibiotic therapy at postoperative sixth day, purulent discharge started to ooze from the incision site. Upon detection of a palpable mass in the lower right abdominal quadrant, ultrasonographic examination was performed on the postoperative 14th day which revealed a non-homogeneous hypoechoic mass measuring 50-45 mm with irregular contours. The case was re-operated and a greater omental abscess was found which resected en-bloc. Any evidence of foreign object or residual appendiceal tissue was not found. Postoperative course was uneventful, and the patient was discharged on the 36th postoperative day.

Herein, we reported an extremely rare case of omental abscess developed following appendectomy

References

  • Shiryajev NY, Glebova VA, Bernstein MA, Kokhaneo NY. A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum J Med Cases. 2014;5(1):36-9
  • Hung CC, Chou CM, Chen HC. An omental abscess mimicking an intra-abdominal tumor. J Chin Med Assoc. 2012;75(3):136-8.
  • Chukhrienko DP, Bereznitskii IS. Intraabdominal Abscesses and Phlegmons. Kyiv, USSR: Zdorov’ya, 1977:1-136 (in Russian).
  • Odinak VM, Gridina GI. Omentitis in children. Khirurgiia (Mosk). 1987;(8):54-8.
  • Cortesi N, Manenti A, Rossi A, Zanni C, Barberini G, Gibertini G. L’appendicite aigue et ses complications post-operatoires. A propos d’une serie de 8738 cas. J Chir (Paris). 1985;122(10):577-9
  • Bairov GA, Golovanov Ia S. Infiltrative subacute omentitis in children with acute appendicitis. Vestn Khir Im I I Grek. 1988;140(1):116-20.
  • Paliuga NI. Abscess of the greater omentum after appendectomy. Vestn Khir Im I I Grek. 1983;130(4):69- 70.
  • Derzhavin VM, Ivanova MN, Gordeeva IP, Konovalov AK. Secondary acute omentites in children. Vopr Okhr Materin Det. 1986;31(8):29-32 (in Russian).
  • Joshi S, Cuthbert GA, Kerwat R Omental torsion, a rare cause of acute abdomen. BMJ Case Rep. 2016: 5;2016
  • De Brabandere K, Vanpaemel G, Verheyen L. Spontaneous abscesses of the abdominal wall, omentum and abdominal cavity caused by group G streptococci: a case report. Acta Chir Belg. 2008 Nov 1;108(6):765-7.
  • Buckley O, Geoghegan T, Ridgeway P, Colhoun E, Snow A, Torreggiani WC. The usefulness of CT guided drainage of abscesses caused by retained appendicoliths. Eur J Radiol. 2006;60(1):80-3.
  • Lawson GA, 3rd, Castaldo ET, Miller RS. Primary omental abscess caused by Streptococcus constellatus: a case report. Surg Infect (Larchmt). 2010;11(3):339-41.

An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis

Year 2016, Volume: 3 Issue: 5, 236 - 8, 15.05.2016

Abstract

References

  • Shiryajev NY, Glebova VA, Bernstein MA, Kokhaneo NY. A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum J Med Cases. 2014;5(1):36-9
  • Hung CC, Chou CM, Chen HC. An omental abscess mimicking an intra-abdominal tumor. J Chin Med Assoc. 2012;75(3):136-8.
  • Chukhrienko DP, Bereznitskii IS. Intraabdominal Abscesses and Phlegmons. Kyiv, USSR: Zdorov’ya, 1977:1-136 (in Russian).
  • Odinak VM, Gridina GI. Omentitis in children. Khirurgiia (Mosk). 1987;(8):54-8.
  • Cortesi N, Manenti A, Rossi A, Zanni C, Barberini G, Gibertini G. L’appendicite aigue et ses complications post-operatoires. A propos d’une serie de 8738 cas. J Chir (Paris). 1985;122(10):577-9
  • Bairov GA, Golovanov Ia S. Infiltrative subacute omentitis in children with acute appendicitis. Vestn Khir Im I I Grek. 1988;140(1):116-20.
  • Paliuga NI. Abscess of the greater omentum after appendectomy. Vestn Khir Im I I Grek. 1983;130(4):69- 70.
  • Derzhavin VM, Ivanova MN, Gordeeva IP, Konovalov AK. Secondary acute omentites in children. Vopr Okhr Materin Det. 1986;31(8):29-32 (in Russian).
  • Joshi S, Cuthbert GA, Kerwat R Omental torsion, a rare cause of acute abdomen. BMJ Case Rep. 2016: 5;2016
  • De Brabandere K, Vanpaemel G, Verheyen L. Spontaneous abscesses of the abdominal wall, omentum and abdominal cavity caused by group G streptococci: a case report. Acta Chir Belg. 2008 Nov 1;108(6):765-7.
  • Buckley O, Geoghegan T, Ridgeway P, Colhoun E, Snow A, Torreggiani WC. The usefulness of CT guided drainage of abscesses caused by retained appendicoliths. Eur J Radiol. 2006;60(1):80-3.
  • Lawson GA, 3rd, Castaldo ET, Miller RS. Primary omental abscess caused by Streptococcus constellatus: a case report. Surg Infect (Larchmt). 2010;11(3):339-41.
There are 12 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Sevgi Sarsu

Publication Date May 15, 2016
Published in Issue Year 2016 Volume: 3 Issue: 5

Cite

APA Sarsu, S. (2016). An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis. Medical Science and Discovery, 3(5), 236-8. https://doi.org/10.17546/msd.12130
AMA Sarsu S. An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis. Med Sci Discov. May 2016;3(5):236-8. doi:10.17546/msd.12130
Chicago Sarsu, Sevgi. “An Extremely Rare Complication After Appendectomy in a Child: Indicators for Omental Abscess, CRP and Leukocytosis”. Medical Science and Discovery 3, no. 5 (May 2016): 236-8. https://doi.org/10.17546/msd.12130.
EndNote Sarsu S (May 1, 2016) An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis. Medical Science and Discovery 3 5 236–8.
IEEE S. Sarsu, “An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis”, Med Sci Discov, vol. 3, no. 5, pp. 236–8, 2016, doi: 10.17546/msd.12130.
ISNAD Sarsu, Sevgi. “An Extremely Rare Complication After Appendectomy in a Child: Indicators for Omental Abscess, CRP and Leukocytosis”. Medical Science and Discovery 3/5 (May 2016), 236-8. https://doi.org/10.17546/msd.12130.
JAMA Sarsu S. An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis. Med Sci Discov. 2016;3:236–8.
MLA Sarsu, Sevgi. “An Extremely Rare Complication After Appendectomy in a Child: Indicators for Omental Abscess, CRP and Leukocytosis”. Medical Science and Discovery, vol. 3, no. 5, 2016, pp. 236-8, doi:10.17546/msd.12130.
Vancouver Sarsu S. An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis. Med Sci Discov. 2016;3(5):236-8.