Appendicitis with psoas abscess successfully treated by laparoscopic surgery

Figure 1 Abdominal contrast computed tomography. A: The psoas abscess (white arrow) was adjacent to the swollen appendix; B: A cutaneous fistula (white arrow) was observed in the right inguinal region.

Figure 2 The laparoscope was inserted via an umbilical trocar ①, a 12-mm trocar ② and a 5-mm trocar ③ were placed as working ports in the left abdomen, and 1 puncture ④ was made in the right abdomen.

Figure 3 Blind end of the appendix was strongly adhered to the right psoas muscle.