Retained fecalith: laparoscopic removal.

Surg Laparosc Endosc Percutan Tech

Published: August 2003

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http://dx.doi.org/10.1097/00129689-200308000-00018DOI Listing

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Article Synopsis
  • - An appendicolith is a calcified mass that can block the appendix, potentially causing repeated appendicitis.
  • - The case presents a 28-year-old man who experienced stump appendicitis due to a fecalith left behind after his appendectomy.
  • - The treatment approach used combines antibiotics and endoscopic procedures instead of surgery, suggesting that this method could safely reduce complications and improve patient recovery.
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Appendicitis is one of the most common surgical emergencies, and surgical intervention remains the gold standard for curative treatment. Although laparoscopic appendectomy is associated with less pain, shorter hospital stays, and earlier mobilization, it is also more frequently complicated by postoperative abscesses. Retained appendicoliths are a rare complication that can serve as a nidus for repeated infections.

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A fecalith is a common cause of acute appendicitis, and laparoscopic surgery is the mainstay of its management. Literature review shows that a fecalith may be retained in the gut following a laparoscopic appendectomy in some rare cases. In most cases, the fecalith becomes symptomatic with time due to the formation of an abscess, fistulous tract, or inflammation of the appendicular stump (stump appendicitis).

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