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Medical mishap as a cause of non‐resolving pneumonia
Author(s) -
Toukan Yazeed,
Gur Michal,
Nir Vered,
Bentur Lea
Publication year - 2017
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.23737
Subject(s) - medicine , abscess , pleural effusion , pneumonia , calcification , presentation (obstetrics) , surgery , computed tomography , appendicitis , radiology , lung abscess , empyema , pleural cavity , lung
A 15‐year old boy was referred for evaluation of fever, productive cough, and recurrent/persistent right lower lobe (RLL) pneumonia of 1‐month duration. Chest computed tomography scan showed RLL consolidation, with minimal pleural effusion and a liver abscess with sharp borders, containing a solid calcification in the lower portion. History revealed acute appendicitis with laparoscopic appendectomy 6 months prior to presentation, during which a fecalith dropped to the peritoneal cavity. Following laparoscopically guided drainage of the abscess the patient improved. Herein we describe a rare case of non‐resolving RLL pneumonia secondary to pyogenic liver abscess caused by dropped appendicolith.

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