A Case of Retroperitoneal Abscess: Complicated Appendicular Perforation

A 23-year-old female presented to the emergency department of Silchar medical College and Hospital on 05-04-2022 with history of severe pain abdomen and vomiting for 3 days and passage of loose stool for 1 day with 3 months amenorrhea. On examination, tenderness, guarding elicited over right lumbar region. Ultrasound examination showed debrigenous collection in the RIF region and pouch of Douglas. Pain did not decrease even after administration of analgesics. CECT Abdomen showed appendicular perforation with retroperitoneal fasciitis. Exploratory laparotomy done with appendicectomy with abscess drainage. Post-operatively, patient had surgical site infection which resolved. The patient was discharged after 4 weeks after full recovery.