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Article: Rectus sheath abscess after laparoscopic appendicectomy
- Article from:
- Journal of Minimal Access Surgery
- Article date:
- April 1, 2007
- Author:
CopyrightCopyright Medknow Publications Apr-Jun 2007. Provided by ProQuest LLC. (Hide copyright information)
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Introduction
Laparoscopic appendicectomy per se does not increase the incidence of complications.[1] Abdominal wall vessel injuries may occur during trocar insertion in laparoscopy leading to rectus sheath hematoma although infection of hematoma is a rare occurrence. The usual presentation is chills and rigor, acute abdominal pain associated with palpable painful, firm, abdominal mass corresponding to the rectus sheath. The hematoma takes the shape according to its location in the rectus sheath; above the arcuate line it appears as unilateral spindle shape and below the arcuate line it appears spherical in shape. Signs of urinary bladder and peritoneal irritation with rebound tenderness and ...