A Late Onset Abdominal Wall Abscess After Appendectomy: A Case Report

Abstract

A 68-year-old man presented to the emergency department with pain and a mass in the abdominal wall. He had undergone an appendectomy 44 years previously. Physical examination revealed a mass under the appendectomy scar. Abdominal computed tomography scan revealed a large right abdominal wall abscess that contained a hypodense mass measuring 10 cm in diameter with extension into the ileocecal area. The patient underwent subsequent percutaneous abscess drainage under image guidance and antibiotic therapy. There were no significant abnormal findings in the endoscopic examination of the bowel. In this case, Streptococcus constellatus infection was confirmed by the culture of abscess samples. The patient was discharged 13 days after admission. At follow-up 1 year later, no recurrence of the abscess was observed.