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Urologic complication of laparoscopic appendectomy.

Abscess formation after a ruptured appendix is a well-known phenomenon. Extra-abdominal complications are somewhat rare. Here we present an unusual urologic complication in a case of a perforated appendix and abdominal sepsis.

Abdominal Pain↗

[Too many unnecessary appendectomies. Leukocyte count and CRP value for safer diagnosis].

The increase in leucocyte count is a very early marker of appendiceal inflammation, whereas CRP increases are usually seen only after protracted inflammation such as appendiceal perforation or abscess formation. Acute appendicitis is unlikely in adult patients with normal leucocyte count and CRP value, even if clinical symptoms and signs indicate acute appendicitis. However, a normal leucocyte count and CRP value do not effectively exclude appendicitis in children.

Acute Disease↗