Diffuse abscess in the abdominal wall after appendectomy: Case reports

Abstract

A diffuse abscess in the abdominal wall complicating appendectomy is less reported. Authors report a 45 year-old man, who presented a warm, fluctuation and painful swelling of the all under umbilical abdominal wall four days after appendectomy for appendicitis with gangrenous appendix. The root of the right thigh and the scrotum were infiltrated with areas of cutaneous necrosis. Its treatment consisted on evacuation of the pus, excision of the necrotic tissues, daily dressings combined to antibiotic treatment according to antibiogram. The surgical suites were good with disappearance of fever and wounds cleansing, which allowed secondary suture after 14 days of wounds dressings. Although, that good evolution, it increased hospital journey and financial cost of appendectomy.