Abdul Ghani, Mohammed Rafee Al Ghamdi, Imad Makdesi, Waseem Alqalqili.
Retrocecal appendectomy: a challenge.
Baqai J Health Sci Jan ;15(2):39-40.

A case of 25 years old Saudi male underwent appendectomy two years ago at Mecca. He was admitted with complaint of sever painful swelling in right iliac fossa which aggravated with change of posture and was associated with anorexia .The diagnosis was made on clinical assessment and was supported by blood investigations, ultrasound of abdomen and CT scan showed a retrocecal abscess 6 cm x 7 cm layer underneath scar. The patient underwent emergency laparotomy, which revealed retrocecal abscess with old perforated appendix with a fecolith. Drainage of abscess and appendectomy was performed and emphasized the importance of early treatment of appendicitis.

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