A Case of Abscess for Appendicitis during Treatment of Leukemia in Adult

Tsuyoshi Igami, Hiroshi Hasegawa, Seiji Ogiso, Eiji Sakamoto, Hiroaki Shibahara Shusaku Ohira, Toshiharu Mori and Keisuke Uehara

Department of Surgery, Nagoya Daini Red Cross Hospital

A 51-year-old man with anacatesthesia was diagnosed as having acute myelocytic leukemia (M5a). After 3 weeks of leukemia treatment, an abdominal CT showed an intrailiopsoas abscess, with right leg pain and fervescence. Conservative therapy using antibiotics was adopted, and a second. CT showed the improvement of the abscess. After another 2 weeks of leukemia treatment, a CT examination showed the relapse of the abscess. The same therapy was performed, and the abscess improved once again. A colography revealed a gastrographin exudate from the intrailipsoas abscess. After the remission of the bone marrow inhibition, we performed an appendectomy and drainage. The histological findings of the appendix showed the inflammation but no leukemic cells were found. Only 13 cases of acute appendicitis complicated by leukemia in adults have been reported in the Japanese literature.

Key words
acute appendicitis, leukemia

Reprint requests
Tsuyoshi Igami Department of Surgery, Nagoya Daini Red Cross Hospital 2-9 Myoken-cho, Showa-ku, Nagoya, 466-8650 JAPAN

Accepted
July 31, 2001

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