Pre-peritoneal bisaccular umbilical and subcutaneous abscess after laparoscopic appendectomy |
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Authors: | E Habib A Elhadad |
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Affiliation: | Service de chirurgie Viscérale et Thoracique, H?pital R. Ballanger, Aulnay-Sous-Bois. |
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Abstract: | Laparoscopic surgery has gained much interest since its advent the late eighties. A 36-year-old patient underwent laparoscopic appendicectomy via the transumbilical route. She was rehospitalized three times thereafter for subumblical pain. At day +48, an abscess was evacuated at the point of the umbilical trocar insertion. This hour-glass shaped abscess had a preperitoneal and subcutaneous localization, blocked by the epiploic reaction. The infection this patient developed is an unusual clinical finding as pain was localized at a distance. The umbilical site and the preperitoneal subcutaneous nature of the abscess are also unusual. This case emphasizes the gravity of post-operative abscess of the abdominal wall and the necessity for adequate prophylaxy. |
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