Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website https://www.currentsurgery.org

Case Report

Volume 10, Number 3, September 2020, pages 45-48

Treatment of Complex Extraperitoneal Appendiceal Abscesses Using a Single-Stage Laparoscopic Transabdominal Pre-Peritoneal Approach: A Description of Technique and Perioperative Care

Figures

Figure 1.
Figure 1. (a) Preoperative CT axial view of the collection at the level of the cecal pole. The trunk of the appendix cannot be identified. (b) Preoperative CT sagittal view of the extraperitoneal collection at its long axis (12.3 × 4.45 cm). (c) Preoperative CT coronal view of the extraperitoneal collection (arrow), extending inferiorly to the level of inguinal ligament (interrupted line), which misled the primary care physician towards the diagnosis of a groin hernia rather than complicated intra-abdominal infection. CT: computed tomography.
Figure 2.
Figure 2. Postoperative CT coronal and axial views of the residual extraperitoneal collection (arrows), showing almost complete resolution; please note the kinking in the inferior aspect of the drain, which required re-adjustment under local anesthetic. Of note the residual collection was hemoserous fluid with no purulent features. CT: computed tomography.