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Laparoscopic retrocaecal appendectomy and disseminated peritonitis

F Costantino, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Dec 2009;09(12). URL: http://websurg.com/doi/vd01en2676

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  • 2009-12-15
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This video demonstrates the laparoscopic treatment of a retrocaecal appendicitis with disseminated peritonitis. This is the case of a 45-year-old patient presenting with an appendicular peritonitis. The patient, who had no previous medical history, was referred to emergencies with a pain syndrome of the right iliac fossa, fever, tachycardia and hyperleukocytosis. The CT-scan identified a retrocaecal infiltration and a voluminous appendicitis. The appendicitis, situated in a retrocaecal position, was going towards a suprahepatic position.