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Retroperitoneal Abscess


Presentation

  • A 67-year-old man presented with abdominal pain, sub-occlusion, left groin mass, left groin, and lower limb pain during walking, negative Blumberg sign.[ncbi.nlm.nih.gov]
  • We presented here a case of retroperitoneal abscess caused by Clostridium difficile arising in the puerperal period. Case report and review of recent English-language literature. The patient presented with surgical incision dehiscence.[ncbi.nlm.nih.gov]
  • She presented a month later with recurrence at the drainage site. This case highlights this unusual initial presentation of right colonic cancer, the diagnostic dilemma and the poor prognosis associated with it.[ncbi.nlm.nih.gov]
  • Delayed presentation was responsible for the only death in the series and was also associated with prolonged morbidity in the remaining five cases.[ncbi.nlm.nih.gov]
  • She presented to our emergency department with sepsis and acute kidney impairment. An X-ray of her left femur revealed widespread gas between muscular planes.[ncbi.nlm.nih.gov]
Fever
  • Disseminated mycobacterial infection after Bacille Calmette-Guérin (BCG) vaccination is a rare disorder, usually presenting with fever, weight loss, anemia, lymphadenopathy and hepatosplenomegaly.[ncbi.nlm.nih.gov]
  • Initially, arthritis of the hip was suspected, because of the absence of fever or abdominal abnormalities. Two weeks later, fever, malaise, and pneumaturia developed and urine culture grew Escherichia coli.[ncbi.nlm.nih.gov]
  • Although construction of a right nephrostomy for drainage of the abscess improved her general condition, she had a fever again 2 weeks after the initial treatment.[ncbi.nlm.nih.gov]
  • The patient began receiving intravenous antibiotics, but fever and abdominal pain persisted and a large, fluctuating, tender swelling appeared on the medial aspect of his right thigh and right calf.[ncbi.nlm.nih.gov]
  • We report the case of a 77-year-old woman who presented with fever of unknown etiology and a complication of retroperitoneal abscess mimicking a gluteal abscess with gallstones and clips the abscess.[ncbi.nlm.nih.gov]
Malaise
  • Two weeks later, fever, malaise, and pneumaturia developed and urine culture grew Escherichia coli. Laparotomy revealed a large occult retroperitoneal abscess on the left side, which had been irritating the psoas muscle.[ncbi.nlm.nih.gov]
  • It includes : Abdominal pain or flank pain Pain in the groin, hip or referred pain to the knee in a psoas abscess Fever with chills Weakness and malaise Loss of weight Please note that any information or feedback on this website is not intended to replace[healthhype.com]
  • Constitutional symptoms : chills, malaise, anorexia and weight loss. Abdominal pain : Not localized due to the unusual site of the abscess.[wikidoc.org]
  • Other symptoms are nausea, malaise and weight loss . Psoas muscle abscess may be classified as primary or secondary depending on the presence or absence of underlying disease.[radiopaedia.org]
  • Specific symptoms of abdominal abscesses depend on the location of the abscess, but most people have constant discomfort or pain, feel generally sick (malaise), and often have a fever.[msdmanuals.com]
Fatigue
  • A 71-year-old man presented with pain in his left side, fatigue, fever, nausea, massive subcutaneous emphysema of the neck, and Blumberg sign in the left iliac fossa.[ncbi.nlm.nih.gov]
  • Definite and early fatiguing. May have occasional arrests in movement. 3 Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement. 4 Can barely perform the task. ‎ Seite 298 - Examinations: 18.[books.google.de]
  • Physical Exam General Appearance The patient is usually fatigued & looking ill due to the preexisting risk factor.[wikidoc.org]
  • A 63-year-old man with diabetes mellitus,renal failure and neurogenic bladder was hospitalized complaing of general fatigue and a poor appetite.[webview.isho.jp]
Recurrent Infection
  • Conventional open repair is associated with high mortality, whereas endovascular stent-graft repair is associated with recurrent infection or bleeding.[ncbi.nlm.nih.gov]
Abdominal Pain
  • A fatal case of appendicitis in a 76-year-old man who presented with progressive abdominal pain, retroperitoneal abscesses and extensive subcutaneous emphysema, is described.[ncbi.nlm.nih.gov]
  • Herein, we report on a 22-year-old male lupus patient who presented with acute abdominal pain, anemia and subsequent hypertension. Abdominal computed tomography revealed a peri-renal hematoma over the right kidney.[ncbi.nlm.nih.gov]
  • The patient began receiving intravenous antibiotics, but fever and abdominal pain persisted and a large, fluctuating, tender swelling appeared on the medial aspect of his right thigh and right calf.[ncbi.nlm.nih.gov]
  • We present a 76-year-old Japanese woman with abdominal pain, high fever, and a history of rheumatism on treatment with immunosuppressants.[ncbi.nlm.nih.gov]
  • A 62-year-old man, with a history of alcohol abuse, was admitted for intermittent abdominal pain, fever, and significant weight loss. Previous medical consultations (laboratory tests, US, CT) confirmed chronic pancreatitis with pseudocyst formation.[ncbi.nlm.nih.gov]
Right Lower Quadrant Tenderness
  • Physical examination revealed a distended abdomen with right lower quadrant tenderness.[ncbi.nlm.nih.gov]
Hepatosplenomegaly
  • Disseminated mycobacterial infection after Bacille Calmette-Guérin (BCG) vaccination is a rare disorder, usually presenting with fever, weight loss, anemia, lymphadenopathy and hepatosplenomegaly.[ncbi.nlm.nih.gov]
Thigh Pain
  • Prior to admission the patient reported a vague 4-week history of left thigh pain and an inability to fully weight bear. She presented to our emergency department with sepsis and acute kidney impairment.[ncbi.nlm.nih.gov]
Leg Pain
  • We report on two patient who presented with back and leg pain soon after normal deliveries.[ncbi.nlm.nih.gov]
Subcutaneous Emphysema of the Neck
  • A 71-year-old man presented with pain in his left side, fatigue, fever, nausea, massive subcutaneous emphysema of the neck, and Blumberg sign in the left iliac fossa.[ncbi.nlm.nih.gov]

Workup

  • The most frequently used image modality for the initial workup of patients with abdominal discomfort is supine abdominal radiography (kidneys, ureters, and bladder [KUB]).[tcmjmed.com]
X-Ray Abnormal
  • Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done.[merckmanuals.com]
Gastric Varices
  • The association of gastric varices and left-sided portal hypertension further complicated the differential diagnosis and precluded percutaneous aspiration procedures.[ncbi.nlm.nih.gov]
Mycobacterium Chelonae
  • To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment. Case report. Private community teaching hospital. A patient was admitted to the hospital following a gunshot to the flank.[ncbi.nlm.nih.gov]
  • Retroperitoneal abscess caused by mycobacterium chelonae and treatment. Ann Pharmacother 1993;27:178-179. 13. Rhode CM, Jennings WD. Retroperitoneal retrofascial space infections. Am Surg 1964;30:799-810. 14. Nortan KI, Cohen BA, Reiner MA, et al.[thefreelibrary.com]
Mycoplasma Hominis
  • We report a case of a retroperitoneal abscess due to Mycoplasma hominis in a young polytraumatized man who developed septicemia under treatment with rifampin and flucloxacillin.[ncbi.nlm.nih.gov]

Treatment

  • INTRODUCTION: This study examined the risk factors for initial treatment failure in renal or retroperitoneal abscess as a multicenter study.[ncbi.nlm.nih.gov]
  • Treatment of retroperitoneal abscesses includes identification and treatment of underlying conditions, intravenous antibiotics and adequate surgical drainage of all well-defined collections.[ncbi.nlm.nih.gov]
  • BACKGROUND: Delay in surgical treatment and duodenal wound dehiscence are two major causes of extensive retroperitoneal abscess formation after blunt duodenal injury.[ncbi.nlm.nih.gov]
  • The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free.[ncbi.nlm.nih.gov]
  • With acupuncture treatment becoming an increasingly popular analgesic, there have been increasing reports on its associated complications.[ncbi.nlm.nih.gov]

Prognosis

  • This case highlights this unusual initial presentation of right colonic cancer, the diagnostic dilemma and the poor prognosis associated with it.[ncbi.nlm.nih.gov]
  • Renal Failure DVT Small Bowel Obstruction Arterial Thrombosis UTI Brain abscess Empyema Osteomyelitis Prognosis Depending on the extent of the abscess at the time of diagnosis, the prognosis may vary.[wikidoc.org]
  • Treatment and prognosis Appropriate antibiotics along with drainage of the abscess is the treatment of choice.[radiopaedia.org]
  • What caused the abscess and a person's general medical condition affect the prognosis more than the specific nature and location of the abscess.[msdmanuals.com]
  • Prognosis Intra-abdominal abscesses have a mortality rate of 10 to 40%. Outcome depends mainly on the patient’s primary illness or injury and general medical condition rather than on the specific nature and location of the abscess.[merckmanuals.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • We report the case of a 77-year-old woman who presented with fever of unknown etiology and a complication of retroperitoneal abscess mimicking a gluteal abscess with gallstones and clips the abscess.[ncbi.nlm.nih.gov]
  • Retroperitoneal abscess is a rare complication of normal labor and delivery, and no apparent etiology is evident. We report on two patient who presented with back and leg pain soon after normal deliveries.[ncbi.nlm.nih.gov]
  • In addition, the text addresses the complex interface exists between the medical and surgical management of IBD with important information on medical treatment, endoscopic evaluation, pathology, radiology, and etiology.[books.google.de]
  • Pediatric Considerations Consider necrotizing enterocolitis as an etiology in newborns.[unboundmedicine.com]

Epidemiology

  • […] transverse mesocolon Perirenal space Kidneys, renal vessels, adrenal glands Posterior pararenal space Contains no major organs and is filled with fat, blood vessels, and lymphatics Bounded by renal fascia and the muscles of the posterior abdominal wall Epidemiology[unboundmedicine.com]
  • […] tract ) Multibacterial & anaerobes (if gastrointestinal tract (GIT) is the primary source) Staphylococcus aureus (if from distant septic focus ) Tuberculosis (if secondary to Pott’s disease ) Differentiating retroperitoneal abscess from other Diseases Epidemiology[wikidoc.org]
Sex distribution
Age distribution

Pathophysiology

  • Leukocytosis is usually not extremely high (between 10,000 and 20,000 in most cases) Blood culture is not always positive (but carries a grave prognosis if positive).Organism depends on the source of abscess as mentioned above in pathophysiology.[wikidoc.org]
  • […] renal fascia and the muscles of the posterior abdominal wall Epidemiology Incidence Most common in the 3rd to 6th decades ( 1 ) Slight male predominance ( 1 ) Prevalence Rare condition in which perirenal abscesses are more common ( 2 ) Etiology and Pathophysiology[unboundmedicine.com]
  • In our patient, it remains somewhat unclear, which was the pathophysiology of rectal perforation. Ischemia, pre-existing inflammatory bowel disease, and manipulation as the commonest reasons could be excluded.[wjes.biomedcentral.com]

Prevention

  • Prompt recognition, early surgical intervention, and optimal use of antibiotics can reduce morbidity and prevent death.[ncbi.nlm.nih.gov]
  • Treatment of the primary disease Prevention of infection, such as perioperative antibiotic prophylaxis Prompt treatment of symptomatic infection Commonly Associated Conditions Bowel perforation Diabetes mellitus Diverticulitis Immunosuppression (HIV,[unboundmedicine.com]
  • An early ultrasound and drainage in this case may have prevented fistulation of the retroperitoneal abscess through the abdominal wall. Occult retroperitoneal abscess presenting as septic arthritis of the hip.[medical-dictionary.thefreedictionary.com]
  • In many cases, if the underlying cause can be discovered, an abscess can be prevented. Related wiseGEEK Articles Discuss this Article Telsyst Post 1 This seems like one of those diseases that you just don't know how someone gets something like this.[wisegeekhealth.com]
  • .: Prevention of hip fracture in elderly people with use of a hip protector. ‎[books.google.de]

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