Bryan J, Ashcroft J, Hudson V E, Wong K Y
Department of Plastic and Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
J Surg Case Rep. 2021 Jan 9;2021(1):rjaa505. doi: 10.1093/jscr/rjaa505. eCollection 2021 Jan.
Appendicitis remains one of the most common causes of abdominal pain across the world typically presenting with right iliac fossa pain, fever and nausea or vomiting. We describe an unusual case of appendicitis presenting as a soft tissue infection of the thigh, thereby causing a delayed diagnosis from presentation. We discuss the pathophysiological process behind soft tissue infections caused by appendicitis and highlight investigation and management strategies to ensure prompt treatment to reduce patient mortality.
阑尾炎仍然是全球最常见的腹痛原因之一,通常表现为右下腹疼痛、发热以及恶心或呕吐。我们描述了一例不寻常的阑尾炎病例,其表现为大腿软组织感染,从而导致诊断延误。我们讨论了阑尾炎引起软组织感染背后的病理生理过程,并强调了调查和管理策略,以确保及时治疗,降低患者死亡率。