Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: Sonographic findings

Black, Michelle; Ha, Bo Yoon; Kang, Young Sun; Garland, Adella M.

doi:10.1002/jcu.21940

Cited by 13 publications

(26 citation statements)

References 18 publications

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“…Here, we performed extraction by right lumbotomy. The abscess location may vary, with the perihepatic space being a common site [6, 8]. In our case, the first recurrent abscess was paracolic and the second was on the right psoas muscle.…”

Section: Discussionmentioning

confidence: 87%

A Four-Year Hospital Journey for a Lost and Migrating Appendicolith

Schraffl

Frima

Villiger

2015

Case Reports in Surgery

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We report a rare case of recurrent abscess formation, including being at a retroperitoneal site, due to a lost and migrating appendicolith. Over a four-year period and following an episode of perforated appendicitis, an otherwise healthy young man underwent two operations for abscess formation with eventual stone removal. Appendicoliths can pose a challenge during the diagnostic and therapeutic journey, and adequate attempts at removal need to be made to prevent avoidable complications. In patients suffering from recurrent flank pain and abscesses after appendectomy, the possibility of a lost or overlooked appendicolith should be considered.

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Section: Discussionmentioning

confidence: 87%

A Four-Year Hospital Journey for a Lost and Migrating Appendicolith

Schraffl

Frima

Villiger

2015

Case Reports in Surgery

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“…Appendectomy via laparoscopic approach has become increasingly common in recent years, including for children. Dropped or retained intra‐abdominal appendicoliths can serve as a nidus for abscess formation, which can occur days to months after surgery …”

Section: Discussionmentioning

confidence: 99%

“…Dropped or retained intra-abdominal appendicoliths can serve as a nidus for abscess formation, which can occur days to months after surgery. 3 Appendicitis was the leading source of pyogenic liver abscess in the pre-antibiotic era, but it essentially has been eliminated in recent times. A population-based cohort study noted that the incidence of pyogenic liver abscess was 1.73-fold greater in the appendectomy group than that in the non-appendectomy, and the risk seems to be particularly higher during the first 3 months of follow-up (incidence rate ratio 9.14).…”

Section: Discussionmentioning

confidence: 99%

Medical mishap as a cause of non‐resolving pneumonia

Toukan

Gur

Nir

et al. 2017

Pediatric Pulmonology

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A 15-year old boy was referred for evaluation of fever, productive cough, and recurrent/persistent right lower lobe (RLL) pneumonia of 1-month duration. Chest computed tomography scan showed RLL consolidation, with minimal pleural effusion and a liver abscess with sharp borders, containing a solid calcification in the lower portion. History revealed acute appendicitis with laparoscopic appendectomy 6 months prior to presentation, during which a fecalith dropped to the peritoneal cavity. Following laparoscopically guided drainage of the abscess the patient improved. Herein we describe a rare case of non-resolving RLL pneumonia secondary to pyogenic liver abscess caused by dropped appendicolith.

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“…Retained appendicoliths have been associated with serious complications including retro-peritoneal abscess, perihepatic abscess, tubo-ovarian abscess requiring oophorectomy, gluteal region, iliopsoas muscle, and recurrent pelvic abscess [2].…”

Section: Discussionmentioning

confidence: 99%

“…However, this has been accompanied by an increase in intra-abdominal abscesses [1]. One of the leading causes of intra-abdominal abscess following laparoscopic appendectomy is believed to be retained appendicoliths [2]. An appendicolith can serve as a nidus for future abscess, commonly in the pelvis.…”

mentioning

confidence: 99%

Chronically Retained Fecalith following Laparoscopic Appendectomy

GambleLauren

SaxeAndrew

2016

Surgical Infections Case Reports

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Background: Abscess formation because of retained fecalith is a recognized complication of appendectomy. These abscesses may present at a time remote from the appendectomy. No peri-hepatic abscess attributable to a retained fecalith has been reported more than four years following appendectomy. Methods: A 43-year-old male presented with a subhepatic abscess 9 y following appendectomy. A retained appendicolith was recognized immediately following appendectomy, but was not removed. At his return 9 y after the initial operation, a trial of antibiotic therapy was unsuccessful and he underwent an operation to drain the abscess and retrieve the fecalith. We review the literature pertaining to management of a retained fecalith following appendectomy. Results: Successful management of a subhepatic abscess attributable to a retained fecalith 9 y following appendectomy. Conclusions: Abscesses attributable to a retained fecalith may present many years following appendectomy. In this setting, antibiotic therapy alone without removal of a retained fecalith is unlikely to be successful.

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Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: Sonographic findings

Cited by 13 publications

References 18 publications

A Four-Year Hospital Journey for a Lost and Migrating Appendicolith

A Four-Year Hospital Journey for a Lost and Migrating Appendicolith

Medical mishap as a cause of non‐resolving pneumonia

Chronically Retained Fecalith following Laparoscopic Appendectomy

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