Indian Pediatr 2018 07;55(7):603-604
Department of Paediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India.
Background: Retained appendicolith following appendicectomy, and can cause recurrent abscess in the abdomen and retroperitoneum.
Case Characteristics: 11-yr-old boy who presented with subpulmonic abscess and pneumonia following appendicectomy for perforated appendicitis.
Observation: Thoracotomy revealed a thick walled subpulmonic abscess surrounding an appendicolith along with a rent in the posterolateral aspect of the diaphragm.
Message: In children presenting with pus collections and a history of recent appendicectomy, the possibility of a migrating appendicolith should be considered.
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