Retroperitoneal Abcess Profiles in a Tertiary Hospital in Bandung, Indonesia : Long Term Retrospective Study
Keywords:Characteristics, Retroperitoneal, Abscess
Retroperitoneal abscess is a rare and difficult-to-diagnose condition. The delay in diagnosis is the primary cause of mortality. We did a case series investigation to describe the profiles of retroperitoneal abscesses. We obtained retrospective data from medical records. We reviewed thirty patients admitted to our hospital with retroperitoneal abscesses from January 2013 to December 2019. Of 30 patients reviewed, 56.67% were male, with 50.14 years-old mean age. Approximately 46.67% presented with a chief complaint of back pain, and about 63.33% of cases had a fever. The most prevalent source was genitourinary, which accounted for 60% of the cases. The most common type of abscess was the perirenal abscess. Diabetes mellitus, malignancy, and an immunocompromised condition were all prevalent comorbidities. Escherichia coli was the most prevalent pathogen (46.66%), followed by Klebsiella pneumoniae (26.67%). For genitourinary abscesses, percutaneous drainage was typically used, whereas surgical drainage was recommended for gastrointestinal abscesses. The mortality rate of those conditions was 13.33%. Retroperitoneal abscesses have a wide range of clinical manifestations and causes. The treatment for retroperitoneal abscesses differed depending on the etiology and severity of the infection.
Huang SH, Lo WO, Lin CM, Hsieh TS, Wang SF, Tsai SW, Chen KC. Retroperitoneal abscess: 7-year experience of 29 cases in a tertiary care center in Taiwan. Urological Science. 2015;26(3):218-21.
Alfarissi F, Putri NM, Atmoko W. Multidisciplinary approach for large retroperitoneal abscess management: A case report. International Journal of Surgery Case Reports. 2021;80:105668.
Ruscelli P, Renzi C, Polistena A, Sanguinetti A, Avenia N, Popivanov G, Cirocchi R, Lancia M, Gioia S, Tabola R. Clinical signs of retroperitoneal abscess from colonic perforation: Two case reports and literature review. Medicine. 2018;97(45).
Aslan R, Özgökçe M, Eryılmaz R, Duran MA, Yıldızhan M, Taken K. Retroperitoneal abscesses: Origin, ethiology and percutaneous treatment. East J Med. 2018;23(4):269–274.
Rivera CJ-P. Retroperitoneoscopic drainage of a retroperitoneal abscess when open surgery is not an option: a novel surgical technique. MOJ Clin Med Case Reports. 2019;9(3):60–62.
Lin CH, Chou SJ, Wu HS, Yu JC, Chuang CH, Shih ML. Gastrointestinal: retroperitoneal abscess caused by appendicitis. Journal of gastroenterology and hepatology. 2007 Feb;22(2):278-.
Ishan UG, Thilakasiri MC, Weeratunga PN, Lanerolle RD. Successful medical management of a retroperitoneal abscess: a difficult diagnosis in pyrexia of unknown origin. Case Reports in Infectious Diseases. 2020; 27;2020.
Vida L, Mironescu A. Retroperitoneal Abscess Following Appendectomy: A Case Report. Bulletin of the Transilvania University of Brasov. Medical Sciences. Series VI. 2014;7(1):97.
Serviste A, Retroperitoneal D, Abse B, Raslanan N, Olgu B. Assessment of a Giant Retroperitoneal Abscess in Emergency Department: An Unusual Case Presentation. Harran Üniversitesi Tıp Fakültesi Derg. 2016;13(2):169–175.
Shenoy PA, Vishwanath S, Gawda A, Shetty S, Anegundi R, Varma M, Mukhopadhyay C, Chawla K. Anaerobic bacteria in clinical specimens–frequent, but a neglected lot: a five year experience at a tertiary care hospital. Journal of Clinical and Diagnostic Research: JCDR. 2017;11(7):DC44.
Asai N, Ohkuni Y, Yamazaki I, Kawamura Y, Kaneko N, Aoshima M. Clinical manifestations and prognostic factor of iliopsoas abscess. J Glob Infect Dis. 2013;5(3):98–103.
Ouanes Y, Sellami A, Chaker K, Bibi M, Rhouma SB, Nouira Y. Retroperitoneal necrotizing fasciitis with gas gangrene caused by urethral stricture. Urology Case Reports. 2018;20:7.
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