Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh |
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| Authors: | John D Edwards MD Dr Frederic E Eckhauser MD |
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| Institution: | (1) Division of Gastrointestinal Surgery, University of Michigan Medical Center, D2213, MPB, Box 046, 48109 Ann Arbor, Michigan;(2) Section of General Surgery, University of Michigan Medical Center, D2213, MPB, Box 046, 48109 Ann Arbor, Michigan |
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| Abstract: | Retroperitoneal abscesses may develop insidiously, resulting in delayed diagnosis with significant morbidity and mortality.
Subcutaneous emphysema of the thigh may be a late manifestation of this process, and often heralds a poor prognosis because
of associated myonecrosis and fulminant sepsis. The presentation and clinical course of such a patient is summarized, and
the relevant anatomy of the retroperitoneal spaces that predisposes to this condition is described. |
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| Keywords: | Abscesses retroperitoneal Appendix perforated |
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