Complicated perforated acute appendicitis

Unusual complication of neglected perforated acute appendicitis in a 12 year old child.

Resulting in acombined lt subphrenic abcess and lt lung empyema.

discoverd 2 weeks post appendicectomy.

Treated conservatevly by abc s and ct guided percutaneous drainage of both septc collections.

The septic focies drained completely and the patient discharged following complete improvement.