Primary osteomyelitis of the acetabulum resulting in septic

J. Pediatr. Surg. · Aug 2010

Case Reports

Primary osteomyelitis of the acetabulum resulting in septic arthritis of the hip and obturator internus abscess diagnosed as acute appendicitis.

The misdiagnosis of acute appendicitis is not uncommon. Rarely does infection of the triradiate cartilage imitate this entity. ⋯ Like septic arthritis of the hip, acute appendicitis overtreatment is acceptable in part because of the complications resulting from delayed diagnosis and treatment. However, this case demonstrates the need to consider pelvic osteomyelitis and peripelvic infection in the differential diagnosis of appendicitis.

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- Anthony Scillia, Garrick Cox, Edward Milman, Ashlesha Kaushik, and Allan Strongwater.
- Department of Orthopaedics, St. Joseph's Regional Medical Center, Paterson, NJ 07503, USA.
- J. Pediatr. Surg. 2010 Aug 1; 45 (8): 1707-10.
AbstractThe misdiagnosis of acute appendicitis is not uncommon. Rarely does infection of the triradiate cartilage imitate this entity. This case highlights an uncommon presentation of acetabular osteomyelitis as acute appendicitis and the severity of its sequelae. Like septic arthritis of the hip, acute appendicitis overtreatment is acceptable in part because of the complications resulting from delayed diagnosis and treatment. However, this case demonstrates the need to consider pelvic osteomyelitis and peripelvic infection in the differential diagnosis of appendicitis.Copyright 2010 Elsevier Inc. All rights reserved.

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Primary osteomyelitis of the acetabulum resulting in septic arthritis of the hip and obturator internus abscess diagnosed as acute appendicitis.

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