UNUSUAL PRESENTATION OF MISSED APPENDICITIS

Abstract

I present the case of old age man, who presented with pain right side of the abdomen with huge anterior abdominal wall swelling, along with loose motion. His inflammatory markers were unremarkable, and his ultrasound showed fluid-filled bowel loops, with no ascitic fluid. The appendix could not be visualised. On examination, he had tender and distended abdomen and bowel sounds were exaggerated. Laparotomy was performed and it came out to be missed appendicitis which buried into the abdominal wall and caused the pus track down anteriorly to appear as anterior abdominal wall abscess as one of its rare complication. Appendectomy was done alongside abdominal wall exploration. Pus was drained. The patient improved and went home in the second post-operative week.