Medical mishap as a cause of non‐resolving pneumonia

Toukan, Yazeed; Gur, Michal; Nir, Vered; Bentur, Lea

doi:10.1002/ppul.23737

Cited by 1 publication

(1 citation statement)

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“…However, complications of a retained appendicolith are serious and include intra-abdominal abscess, perihepatic abscess, and delayed wound healing through fistula formation [ 1 , 6 ]. There are even rarer complications: Toukan et al reported a case of recurrent right lower lobe pneumonia associated with a liver abscess in a 15-year-old male secondary to retained appendicolith after appendectomy [ 8 ]. The time of symptom presentation in patients with appendicolith after appendectomy varies.…”

Section: Discussionmentioning

confidence: 99%

Benefits of conservative management of a retained appendicolith after laparoscopic appendectomy: A case series

Albdah

Aljomah

Shalhoub

et al. 2021

International Journal of Surgery Case Reports

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Introduction Acute appendicitis is a disease with multifactorial etiology and frequently includes lumen obstruction. Appendicoliths can pose a challenge during the appendectomy procedure if not identified. Methods This is a prospective case series at our academic institution involving two medically free patients with intra-abdominal abscess formation secondary to an overlooked appendicolith who were treated conservatively with a follow up period of one year for each patient. Results Complications of a retained appendicolith are serious and include intra-abdominal abscess, perihepatic abscess, and delayed wound healing through fistula formation, most surgeons would undergo surgical removal with preoperative localization of the appendicolith using different modalities. In contrast, conservative management is an emerging approach to managing such conditions. The conservative approach involves percutaneous retrieval and the IR-guided draining of an intra-abdominal collection. In our cases, percutaneous drainage and intravenous antibiotics were a successful treatment, with no abscess recurrence in over a year. Conclusion We suggest that patients with appendicoliths presenting with appendicitis should undergo appendicolith removal to prevent the risk of recurrent abscess formation. We also consider that the conservative management of patients with appendicoliths presenting with recurrent abdominal pain and abscesses after appendectomy is a better and safer approach than the surgical removal of a dropped appendicolith, as the risks of the surgical procedure complications can be avoided.

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Section: Discussionmentioning

confidence: 99%