AI 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.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11245200PMC
http://dx.doi.org/10.14309/crj.0000000000001430DOI Listing

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