Retained fecalith after appendectomy is an uncommon complication and is mostly presented as an intra-abdominal abscess. Development of an extra-abdominal abscess due to retained fecalith is extremely rare. There are only a few cases reported in adults. In this paper, we present a case complicated by a gluteal abscess with intra-abdominal extension due to an unusual journey of a retained fecalith after an appendectomy. As far as we know, this is the first case of a gluteal abscess due to a retained fecalith in children.
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SpyGlass/Cholangioscope-Assisted Colonoscopic Removal of Appendicolith as a Nonsurgical Alternative for Stump Appendicitis Management.
ACG Case Rep J
July 2024
Department of Gastroenterology, Albert Einstein College of Medicine, Bronx, NY.
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.
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Surgical Management of a Retained Appendicolith Following Laparoscopic Appendectomy.
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February 2023
General Surgery, Mercy Medical Center, Des Moines, USA.
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.
View Article and Find Full Text PDFDelayed Presentation of a Retained Fecalith.
Cureus
June 2021
Gastroenterology, Shifa International Hospital, Islamabad, PAK.
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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