Retained fecalith following laparoscopic appendectomy

Kim, Yegi Sandy; Kong, Jessica; Williams, E. J.; Warrier, Satish

doi:10.1002/ccr3.3867

Cited by 1 publication

(2 citation statements)

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“…9 In addition, laparoscopic appendectomy carries a small but notable risk of a retained fecalith where a fecalith may drop from the base of the appendix when it is being resected or extracted from the port. 3 The stone can serve as a nidus for abscess formation or obstruct the residual appendix lumen, leading to stump appendicitis, with or without involvement of the surrounding cecum. 4,10,11 Treatment of stump appendicitis has conventionally been surgical.…”

Section: Discussionmentioning

confidence: 99%

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SpyGlass/Cholangioscope-Assisted Colonoscopic Removal of Appendicolith as a Nonsurgical Alternative for Stump Appendicitis Management

Sudan,

Julka,

Patel

2024

ACG Case Rep J

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An appendicolith is a calcified mass which can obstruct the appendix often leading to recurrent appendicitis. Failure to extract fecalith at the time of appendectomy can lead to recurrent inflammation in the appendiceal stump. We describe a 28-year-old man with stump appendicitis due to a retained fecalith postappendectomy. Our approach, akin to interval appendectomy, combines antibiotics and endoscopic intervention postinfection resolution. This case highlights the feasibility and safety of endoscopic management, offering a nonsurgical alternative to prevent the morbidity associated with revision surgery. Further exploration of nonsurgical modalities is warranted to optimize patient outcomes.

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Section: Discussionmentioning

confidence: 99%

“…2 Laparoscopic appendectomy, the standard treatment of acute appendicitis, carries a small risk of retained fecalith. 3 This can lead to recurrent inflammation and stump appendicitis, necessitating additional surgery. 4 To avoid such complications, nonsurgical options should be explored.…”

Section: Introductionmentioning

confidence: 99%