Colonic perforation presenting as retroperitoneal abscess: case report and brief review of literature


  • Shobhit Sengar Department of General Surgery, Prathvi Raj Hospital Cheerat, Aligarh, Uttar Pradesh, India
  • Malkhan Singh Department of General Surgery, Prathvi Raj Hospital Cheerat, Aligarh, Uttar Pradesh, India



Retroperitoneal abscess, Colon perforation, Retrocecal appendix


Retroperitoneal colonic perforation is a rare cause of retroperitoneal abscess. It presents more frequently in frail elderly patients with heterogeneous signs and symptoms which make it difficult to diagnose clinically. Subcutaneous emphysema with pneumomediastinum and iliopsoas muscle abscess are unusual signs. Abscess formation occurs in 0.3 to 0.4% and is the second most common complication of perforated lesions. Acute appendicitis may also present with retroperitoneal abscess which is a life threatening complication.


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Tsai HL, Hsieh JS, Yu FJ, Wu DC, Chen FM, Huang CJ, et al. Perforated colonic cancer presenting as intra-abdominal abscess. Int J Colorectal Dis. 2007;22(1):15-9.

Hsieh CH, Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ. Retroperitoneal abscess resulting from perforated acute appendicitis: analysis of its management and outcome. Surg Today. 2007;37(9):762-7.

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Tomasoa NB, Ultee JM, Vrouenraets BC. Retroperitoneal abscess and extensive subcutaneous emphysema in perforated appendicitis: a case report. Acta Chir Belg. 2008;108(4):457-9.






Case Reports