Intra-abdominal Abscess as a Simulating Tumor
Keywords:
intra-abdominal abscess; tumor-like appearance image.Abstract
Intra-abdominal abscess is a collection of pus in the abdomen that is surrounded by inflamed and encapsulated tissue. Intra-abdominal abscesses have a mortality rate of 10 to 40%. A 68-year-old patient is presented who comes to the clinic reporting: marked weakness, evening fever, weight loss, pain in the left iliac fossa with irradiation to the left hemiabdomen and urinary symptoms for 5 months. During the investigations, moderate anemia, a tumor-like image in the projection area of the left iliac fossa, and urinary infection were detected. Using contrast-enhanced abdominal CT, the presence of a benign tumor is defined without affecting: the abdominal wall, nor the descending colon and sigmoid. During the surgical procedure, a diagnosis was made: paracolic intra-abdominal abscess in the left iliac fossa. The patient was treated with broad-spectrum antibiotics. The patient's evolution was satisfactory. Intra-abdominal abscess is an entity that must be diagnosed early to avoid severe complications.
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