Retained faecolith: an avoidable complication of laparoscopic appendicectomy

Acute appendicitis remains the most common acute condition often requiring surgical intervention. Obstruction of appendicular lumen by faecalith or lymphoid hyperplasia is the main cause of acute appendicitis. There is no possible way to prevent the development of acute appendicitis. The only way to reduce morbidity and mortality is by timely intervention and doing appendicectomy before perforation and gangrene of appendix occurs. We report a case of chronic appendicitis by a giant faecolith leading to chronic pain. This case is being reported is an example of how large an appendiceal faecalith can be.

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“…It is therefore important to perform a thorough examination of peritoneal cavity in cases of perforated appendix. 10…”

Section: Discussionmentioning

confidence: 99%

Faecolith leading to acute exacerbation of chronic appendicitis: case report and review of literature

Kishore

Jaiswal²

2019

Int Surg J

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“…In this particular case, the faecolith remained within the appendix; however, the radiological finding is an important consideration at the time of surgery. A retained faecolith can inadvertently be left within the abdominal cavity leading to an increased risk of abscess formation 3. It is therefore important to perform a thorough examination of the peritoneal cavity in cases of perforated appendicitis to exclude this.…”

Section: Descriptionmentioning

confidence: 99%

Appendiceal faecolith: a radiological finding not to be missed

Martel¹,

Martin

2015

BMJ Case Reports

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An abdominal fecalith after laparoscopic appendectomy in a 6-year old girl

Zeynalzade,

Chundokova,

Zalikhin

et al. 2023

Russian Journal of Pediatric Surgery

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Introduction. A fecal stone, or fecalith, is often diagnosed in destructive appendicitis. It can pass into free abdominal cavity both before and during surgery. The incidence of fecaliths left after appendectomy is unknown, and there are only few cases reported in the literature. Abscess formation after appendectomy is a known and frequent complication, especially in case of perforated appendicitis; its incidence reaches 20%. A retained fecalith can trigger an intra-abdominal abscess in the postoperative period.The purpose of the work is to demonstrate the need for a thorough revision and sanitation of the abdominal cavity during appendectomy in order to avoid leaving fecalitis. The technical features of laparoscopic appendectomy represent an increased risk factor for the development of such complications.Description of clinical observation. This article describes a clinical case when a fecalith was found in the abdominal cavity after laparoscopic appendectomy. The patient was operated on for gangrenous-perforated appendicitis 3 months before the present admission to the hospital. After the performed surgery, from time to time the patient complained of periodic abdominal pain and subfebrile temperature. The child was thoroughly examined. Ultrasound and CT examination of the abdominal organs and retroperitoneal space revealed an abdominal abscess with a concrement in it. At laparoscopy, the abscess was opened; a free fecalith was found in it; it was removed.Conclusion. The presented clinical case demonstrates the need to perform a thorough revision and sanation of the abdominal cavity during appendectomy, so as not to leave any fecalith in it. Laparoscopic appendectomy may have an increased risk factor for developing such complications.

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Retained faecolith: an avoidable complication of laparoscopic appendicectomy

Cited by 3 publications

References 7 publications

Faecolith leading to acute exacerbation of chronic appendicitis: case report and review of literature

Faecolith leading to acute exacerbation of chronic appendicitis: case report and review of literature

Appendiceal faecolith: a radiological finding not to be missed

An abdominal fecalith after laparoscopic appendectomy in a 6-year old girl

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