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Case Reports
. 2021 Jan 27;9(3):1651-1654.
doi: 10.1002/ccr3.3867. eCollection 2021 Mar.

Retained fecalith following laparoscopic appendectomy

Yegi Sandy Kim  1 , Joseph Cherng Kong  1   2   3   4 , Evan Williams  1   2   3   4 , Satish K Warrier  1   2   3   4
Affiliations
Case Reports

Retained fecalith following laparoscopic appendectomy

Yegi Sandy Kim et al. Clin Case Rep. .

Abstract

It is important to identify a retained fecalith and remove that infective nidus to decrease the morbidity in patients undergoing laparoscopic appendectomy for perforated appendicitis.

Keywords: laparoscopic appendectomy; pelvic abscess; retained fecalith.

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Conflict of interest statement

There are no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Computed tomography abdomen showing the retained fecalith
FIGURE 2
FIGURE 2
Computed tomography abdomen showing right lateral abdominal wall collection
FIGURE 3
FIGURE 3
Computed tomography abdomen showing horseshoe shaped collection in right lateral abdominal wall into the subcutaneous fat
FIGURE 4
FIGURE 4
Intraoperative view of exploration
See this image and copyright information in PMC

References

    1. Gamble L, Saze A. Chronically retained fecalith following laparoscopic appendectomy. Surg Infect Case Rep. 2016;1(1):35‐37.
    1. Hori T, Machimoto T, Kadokawa Y, et al. Laparoscopic appendectomy for acute appendicitis: how to discourage surgeons using inadequate therapy. World J Gastroenterol. 2017;23(32):5849‐5859. - PMC - PubMed
    1. Kim N, Reed W, Abbas M, Katz D. CT identification of abscesses after dropped appendicoliths during laparoscopic appendectomy. Am J Roentgenol. 2004;182:1203‐1205. - PubMed
    1. Black M, Ha BY, Kang YS, Garland A. Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: sonographic finding. J Clin Ultrasound. 2013;1:366‐369. - PubMed
    1. Weiner D, Katz A, Hirschl R, Drongowski R, Coran A. Interval appendectomy in perforated appendicitis. Paediatr Surg Int. 1995;10:82‐85.

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