Retroperitoneal, Abdominal, and Pelvic Abscess in Appendicitis: The Limitation of Diagnostic Modalities
Bibliographic record
Abstract
Acute appendicitis is a common and well-recognized condition that can be easily managed. However, at times it can become significantly complicated and thus life-threatening. Acute appendicitis can present atypically with findings such as peritonitis and even abdominal abscesses. During laparotomy it is highly unusual to find signs of peritonitis that were not initially visualized by abdominal imaging studies consisting of retroperitoneal and pelvic abscesses. In this case report, we describe the diagnosis and management of a 62-year-old female discovered to have several retroperitoneal abdominal and pelvic abscesses complicated by peritonitis discovered during exploratory laparotomy at the time of appendectomy. The presentation of appendicitis has been associated with abdominal abscesses and peritonitis; however, these findings may at times not be seen using CT imaging. Furthermore, retroperitoneal abscess is a relatively uncommon finding associated with appendicitis. Through this report, we plan to illustrate the importance of not neglecting the possibility of particular intra-abdominal and extra-abdominal inflammatory conditions which may arise during the surgical management of appendicitis. J Med Cases. 2015;6(9):430-432 doi: http://dx.doi.org/10.14740/jmc2266w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.010 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.005 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".