Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: sonographic findings

Journal of Clinical Ultrasound : JCU
Michelle T BlackAdella M Garland

Abstract

We report the case of a 6-year-old girl presenting with acute appendicitis complicated by perforated appendix, followed by perihepatic abscess associated with ectopic appendicoliths. CT findings were initially suspicious for an intrahepatic abscess with internal calcifications. However, on sonography the abscess appeared to be in a perihepatic location. Perihepatic abscess associated with a dropped or retained appendicolith has been rarely reported. Awareness of the possibility of a perihepatic abscess as a complication of laparoscopic appendectomy and use of sonography should result in optimal management of this rare complication.

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Citations

Sep 9, 2015·Case Reports in Surgery·Daniel SchrafflP Villiger
Dec 30, 2015·Journal of the Belgian Society of Radiology·K MuyldermansJ de Mey
May 31, 2017·Pediatric Pulmonology·Yazeed ToukanLea Bentur
Nov 26, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Angèle BonninChristine Hoeffel
Mar 27, 2021·Clinical Case Reports·Yegi Sandy KimSatish K Warrier
May 2, 2021·Pediatrics in Review·Emily M HarrisDeanna Chieco

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