ABSTRACT

Complications of appendectomies most commonly include surgical wound infections, intra-abdominal abscess formation, and rarely thoracic empyema. In this case, we report a patient who developed a right thoracic empyema approximately six weeks after undergoing a laparoscopic appendectomy in treatment of a perforated appendicitis. At the time of thoracoscopy, particulate fecal material was identified in the thoracic cavity that appeared to have entered through a small defect in the diaphragm.