Ansari Fawwad A, Bilal Muhammad Ibraiz, Gondal Muhammad Umer Riaz, Latif Mehwish, Iqbal Nadeem
Medicine, Shifa International Hospital, Islamabad, PAK.
Gastroenterology, Shifa International Hospital, Islamabad, PAK.
Cureus. 2021 Jun 25;13(6):e15919. doi: 10.7759/cureus.15919. eCollection 2021 Jun.
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). We report a case of retained appendicular fecalith presenting with symptoms similar to acute appendicitis, 15 years after laparoscopic appendectomy.
粪石是急性阑尾炎的常见病因,腹腔镜手术是其主要治疗方法。文献综述表明,在一些罕见病例中,腹腔镜阑尾切除术后粪石可能会残留在肠道内。在大多数情况下,随着时间的推移,由于脓肿、瘘管形成或阑尾残端炎症(残端阑尾炎),粪石会出现症状。我们报告一例腹腔镜阑尾切除术后15年出现类似急性阑尾炎症状的残留阑尾粪石病例。