Young male patient presenting with lower abdominal pain, more in RIF, fever 38.9 °C, and signs of severe sepsis, NO shock
CT scan showing a large pelvic and RIF abscess, not amenable to PC drainage for both size and location.
Laparoscopic Source Control with evacuation and drainage of the large purulent abscess from RIF and pelvis, and a challenging finding of a gangrenous and largely perforated appendicitis with ruptured appendix, free fecalith. Technical tips & tricks for isolation of the appendix, laparoscopic adhesiolysis and appendectomy with endoloops
Operating Surgeon: Dr. Salomone Di Saverio MD FACS FRCS
C.A. Pizzardi Maggiore Hospital
AUSL Bologna |