Rare Case of Perforated Appendicitis Presenting As Persistent Perineal Discharge Following Laparoscopic Abdominoperinal Excision of Rectum (APER)

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2021 Jan 12

PMID 33431529

Authors

Tanmoy Mukherjee

Shantata Jayant Kudchadkar

Jayesh Sagar

Shashank Gurjar

Affiliations

Soon will be listed here.

Abstract

Abdominoperineal excision of rectum (APER) is one of the widely used surgical procedures to treat low rectal cancer, benign conditions like Crohn's proctitis with anal involvement and as a salvage procedure for anal cancer. Perineal wound infection is a well-recognised complication following such major surgery. Occurrence of appendicitis in a few weeks' time following such a major surgery is uncommon. However, here we present a rare case report of perforated appendicitis presenting as persistent perineal discharge in an elderly man, following laparoscopic APER for a low rectal tumour. To our knowledge, this is the first time such a rare clinical presentation of appendicitis is reported in the history of medical literature. Through this case report, we aim to highlight the importance of considering such an uncommon presentation in patients with perineal discharge, following APER.

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