Woman 56 yo, pain in RLAQ 1 week ago, ambulatory
treatment, pain in the back and to the
right hip, difficulty in walking.
XRay of the right hip looked like fracture.
MRI
showed that R. hip no fracture but fluid
collection in retroperitoneum
space, intrapsoas muscle to
pelvis and to righ thigh with intramuscular air detection ( MRI 1, 2 ,
3 ).
Ultrasound examination of pelvis detected cystic mass
with air inside likely an
abscess..( US 1,US 2,
US 3 detected air in muscle
of righ thigh).
The sonologist diagnosis is abscess of the right thigh muscle.
Blood tests
= very high WBC= 19,6 k with neutrophil 1,3 k, hsCRP=
207.9ng/ml/.
Emergency CT scan of abdomen and hip, thigh detected retroperitoneum abscess from the
coecum extending to liver and the righ
thigh with air in muscle ( CT 1, CT 2, CT3)
Emergency operation
confirmed abscess due to necrosis of retrocoecum appendix
with perforation of cecum extending to
liver and the righ thigh.
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