Boularab Jihad, Zhim Meryem, Lahlou Chaymae, Edderai Meriem, Fenni Jamal El
Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Radiol Case Rep. 2023 Jan 13;18(3):1264-1266. doi: 10.1016/j.radcr.2022.10.027. eCollection 2023 Mar.
Abscesses of the peritoneal cavity and in particular hepatic abscess due to stercolith retention are a rare complication of appendectomy. Their prevalence is likely to increase as laparoscopic appendectomies become more common. This potentially serious complication can be prevented by following certain technical recommendations. Percutaneous drainage is bound to failure since it leaves the coprolite that causes the recurrence of the abscess, thus when it happens it requires surgical drainage. We report a case of a 40-year-old man, who underwent laparoscopic appendectomy 8 months prior, and presented to the emergency department for acute pain of the right hypochondrium. The radiologic investigations revealed 2 abscesses of the liver and the right iliac fossa containing a central spontaneously hyperdense stercolith. The patient was treated with open surgery removing the stercoliths and draining of the abscesses, with favorable postoperative outcome.
腹腔脓肿，尤其是因粪石存留导致的肝脓肿，是阑尾切除术后罕见的并发症。随着腹腔镜阑尾切除术越来越普遍，其发生率可能会增加。遵循某些技术建议可预防这种潜在的严重并发症。经皮引流注定会失败，因为它会留下导致脓肿复发的粪石，因此一旦发生这种情况，就需要进行手术引流。我们报告一例40岁男性病例，该患者8个月前接受了腹腔镜阑尾切除术，现因右季肋部急性疼痛就诊于急诊科。影像学检查发现肝脏和右髂窝有2个脓肿，其中央有一个自发高密度的粪石。患者接受了开放手术，取出粪石并引流脓肿，术后恢复良好。
