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  • Title: Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh.
    Author: Edwards JD, Eckhauser FE.
    Journal: Dis Colon Rectum; 1986 Jul; 29(7):456-8. PubMed ID: 3720459.
    Abstract:
    Retroperitoneal abscesses may develop insidiously, resulting in delayed diagnosis with significant morbidity and mortality. Subcutaneous emphysema of the thigh may be a late manifestation of this process, and often heralds a poor prognosis because of associated myonecrosis and fulminant sepsis. The presentation and clinical course of such a patient is summarized, and the relevant anatomy of the retroperitoneal spaces that predisposes to this condition is described.
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