Posterior duodenal wall perforation presenting as a retroperitoneal abscess

Duodenal diverticulum with retroperitoneal perforation.

A 62-year-old woman had a 12-hour history of acute-onset epigastric and right upper quadrant pain with radiation to the back. She was febrile, had a diffusely tender abdomen with no peritoneal signs and a leukocytosis of 14.0 × 109/L. An abdominal series did not show evidence of free air. CT of the abdomen revealed peripancreatic fat stranding and retroperitoneal gas bubbles at the third and fo...

Retroperitoneal Perforation of the Appendix Presenting as a Right Thigh Abscess

A rare case of a retroperitoneal rupture of the appendix is being reported here. A 53-year-old male presented to us with a right sided thigh abscess. There were not any abdominal complaints at presentation. There was continuous discharge after incision and drainage from the thigh. Isolation, in culture, of an enteric bacterium from the pus prompted an evaluation of the gastrointestinal tract as...

ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patien...

Isolated Sternal Tuberculosis Presenting as a Chest Wall Abscess: A Case Report

In India, pulmonary tuberculosis accounts for 85% of cases and extrapulmonary tuberculosis accounts for 15% of cases with bone and joint involvement is seen in 1 to 3% of cases. Primary tuberculous osteomyelitis of the sternum is a rare form of extrapulmonary tuberculosis. A 51-year-old male presented with 10 years history of swelling over the anterior chest wall and pain for past 6 months. Fin...

spigelian hernia presenting as abdominal wall abscess