# A mini case report: Klebsiella pneumoniae-induced metastatic neck abscess following laparoscopic appendectomy

## TL;DR

A rare case of a neck abscess caused by Klebsiella pneumoniae following laparoscopic appendectomy is reported, highlighting the importance of thorough diagnosis and treatment.

## Contribution

This case report highlights a rare postoperative complication involving Klebsiella pneumoniae-induced neck abscess after laparoscopic appendectomy.

## Key findings

- A 49-year-old male developed a metastatic neck abscess following laparoscopic appendectomy.
- Klebsiella pneumoniae was identified as the causative agent through pus and blood cultures.
- Successful treatment involved adjusted antibiotic therapy and surgical drainage.

## Abstract

Common complications following laparoscopic appendectomy include wound infection, bleeding, intra-abdominal abscess, small bowel obstruction, stump leakage, and stump appendicitis. Here, we presented a case reporting detailing a rare complication following laparoscopic appendectomy: the development of a metastatic neck abscess induced by Klebsiella pneumoniae(K. pneumoniae). A 49-year-old male underwent emergency laparoscopic surgery with prophylactic antibiotic administration for acute appendicitis. Subsequently, he experienced persistent neck pain and fever postoperatively, prompting further investigation. Pus and blood cultures revealed K. pneumoniae, with magnetic resonance imaging confirming the presence of a neck abscess. Antibiotic therapy was adjusted, and surgical drainage of the abscess was performed after multidisciplinary consultation. The patient was discharged without complications. While rare, metastatic abscesses following appendectomy warrant consideration, particularly in K. pneumoniae infections. Comprehensive clinical assessment, imaging, and laboratory evaluation are crucial for timely diagnosis and management of such complications.