A rare case of acute presentation of a chronic massive extraperitoneal abscess: a case report

Authors

DOI:

https://doi.org/10.18203/2349-2902.isj20222950

Keywords:

Extraperitoneal abscess, Pararectal, Perirectal space, Retro-rectus plane

Abstract

Extra-peritoneal abscesses are uncommon entities encountered during general surgical practice. They occur in a plane present between the peritoneum and the deep fascia anteriorly, posteriorly or in the pelvis. These abscesses commonly occur as a result of supra-levator and pre-peritoneal extension of an ischiorectal abscess. Treatment includes antibiotics and drainage. Here we have described a case of an abscess in the anterior extra-peritoneal plane extending from perirectal and pararectal space, drained surgically through a midline incision.  

Author Biographies

Praveen G. Sekaran, Department of General Surgery, SRM Medical College Hospital and Research Centre, Potheri, Chengalpattu, Tamil Nadu, India

Senior Resident,

Department of General Surgery

Gokul Manu Krishnan, Department of General Surgery, SRM Medical College Hospital and Research Centre, Potheri, Chengalpattu, Tamil Nadu, India

Senior Resident,

Department of General Surgery

References

Tirkes T, Sandrasegaran K, Patel AA, Hollar MA, Tejada JG, Tann M, et al. Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics. 2012;32(2):437-51.

Gore RM, Balfe DM, Aizenstein RI, Silverman PM. The great escape: interfascial decompression planes of the retroperitoneum. AJR Am J Roentgenol. 2000;175(2):363-70.

Meyers M. The Extraperitoneal Spaces: Normal and Physiologic Anatomy. Dynamic Radiology of the Abdomen. 6th ed. Springer-Verlag: New York; 2005.

Horta M, Neto N, Couceiro C, Martins L. Extraperitoneal space: Anatomic and radiologic overview. Eur Congr Radiol. 2014.

Crepps JT, Welch JP, Orlando R. Management and outcome of retroperitoneal abscesses. Ann Surg. 1987;205(3):276-81.

Hanley PH. Anorectal supralevator abscess-fistula in ano. Surg Gynecol Obstet. 1979;148(6):899-904.

Darlington CD, Anitha GF. A rare case of ischiorectal abscess presenting with extensive abdominal wall abscess. Int Surg J. 2016;3:963-4.

Hamza E, Saeed MF, Salem A, Mazin I. Extraperitoneal abscess originating from an ischorectal abscess. BMJ Case Rep. 2017;2017:bcr2016218229.

Mentzer CJ, Yon JR, King R, Warren JA. Complex perirectal abscess extending to the preperitoneum and space of retzius. GHS Proc. 2016;1(1):49-51.

Hanley PH. Anorectal supralevator abscess-fistula in ano. Surg Gynecol Obstet. 1979;148(6):899-904.

Adeyinka AO, Adenigba PT, Adekanmi AJ, Adeniji-Sofoluwe AT, Osobu BE, Oke TO. A rare case of preperitoneal abscess in a nigerian female: ultrasound diagnosis and percutaneous catheter drainage. Ann Ib Postgrad Med. 2021;19(1):82-6.

Tayaran A, Boccola MA, Vanyai J. Preperitoneal abscess secondary to a retained appendicolith: an uncommon complication in an uncommon location. ANZ J Surg. 2018;88(6):648-9.

Downloads

Published

2022-10-29

Issue

Section

Case Reports