Abstract:

We present a case of a patient admitted to the clinic with anamnestic and imaging
data indicating a purulent process involving the right paracolic gutter and the abdominal wall,
accompanied by a septic condition. Laparoscopy was performed, during which an abdominal
wall abscess was identified, resulting from acute appendicitis with a duration of approximately
six months. It was considered safe and effective for the operation to continue laparoscopically.
Appendectomy, evacuation of the purulent collection, extensive lavage, and drainage were
performed. The postoperative period was uneventful, and the patient was discharged on the
fifth postoperative day in good general condition. Two follow-up examinations were carried
out within the first month, during which no postoperative complications were detected, and the
patient’s working capacity was fully restored.

Keywords:  acute appendicitis, laparoscopy, complication, sepsis, abscess.

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