Saratov JOURNAL of Medical and Scientific Research

A case report of appendicular abscess resulted in hernial sac phlegmon

Year: 2018, volume 14 Issue: №1 Pages: 94-96
Heading: Surgery Article type: Case report
Authors: Shapkin Yu.G., Katalnikov A.E., Starchikhina D.V.
Organization: Saratov City Hospital No6 n.a. V. N. Koshelev, Saratov State Medical University
Summary:

An abnormal clinical case of break of appendicular abscess in incisional ventral hernia complicated phlegmon of
anterior abdominal wall is reported. The observation is of significant importance due to rare frequency of occurrence
in clinical practice, formation of a dangerous complication (phlegmon of anterior abdominal wall), difficult differential
diagnostics (Richter’s strangulatoin bowel or epiploon in hernia with necrosis complicated hernial sac phlegmon or
break of appendicular abscess in incisional ventral hernia). The surgical management was performed followed by a
patient’s recovery.

Bibliography:
1. Acute appendicitis. In: Savelyev VS, Kirienko AI, eds. National guidelines of clinical surgery. Moscow: Geotar-Media, 2010; vol. 2, p. 103–142
2. Savelyev VS, Gelfand BR. Peritonitis: Сlinical guidelines. Мoscow: Litterra, 2006; р. 102–106
3. Strangulated hernia. In: Savelyev VS, Kirienko AI, eds. Natinal guidelines of clinical surgery. Moscow: Geotar-Media, 2010; vol. 2, p. 257–279.

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