CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1630370
Renal Compression Caused by a Giant Retroperitoneal Appendiceal Abscess in a Child: A Rare Case Report and Literature Review
Provisionally accepted
- Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
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Objective: To enhance understanding of the diagnosis and management of retroperitoneal appendiceal abscesses in children. Methods: A retrospective analysis was conducted on the clinical data and surgical approach of a pediatric patient with renal compression caused by a giant retroperitoneal appendiceal abscess, treated in the Department of Pediatric Surgery at our Hospital. A review of the relevant literature was also performed. Results: After confirming the diagnosis of a retroperitoneal appendiceal abscess through comprehensive abdominal examinations, the patient successfully underwent retroperitoneal percutaneous catheter drainage under ultrasound guidance. The procedure lasted 25 minutes, with approximately 300 mL of pus drained intraoperatively. Post-drainage, the patient's fever and abdominal pain significantly improved. The patient was discharged in good condition after a 12-day postoperative hospital stay, with a recommendation to undergo appendectomy 3 months later. Conclusion: This case provides valuable insight into the diagnosis and surgical management of retroperitoneal appendiceal abscesses in children. For patients presenting with retroperitoneal abscesses, it is crucial to actively investigate appendiceal origin as a potential cause.
Keywords: Appendiceal abscess, Retroperitoneal, Kidney, pediatric, Drainage
Received: 17 May 2025; Accepted: 01 Sep 2025.
Copyright: © 2025 He, Qi, Bian, Zhou and Duan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yuanfei He, Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
Shi-qin Qi, Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
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