Payne Kaitlin, Farha Natalie, Savage Erica, Burke Carol A
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH.
ACG Case Rep J. 2023 Feb 10;10(2):e00987. doi: 10.14309/crj.0000000000000987. eCollection 2023 Feb.
Appendiceal fecaliths, also known as stercoliths or coproliths, are rigid masses comprised of fecal material that become lodged within the appendix. They are generally accepted to be a primary etiologic agent of acute appendicitis and appendiceal intussusception in adults. We report a case of an asymptomatic woman undergoing colonoscopy found to have a submucosal appearing mass below the appendiceal orifice. A neoplastic appearing lesion on the orifice of the appendix was resected, after which a fecalith extruded into the colonic lumen. This is the first reported case of appendiceal fecalith discovered and completely removed during colonoscopy in an asymptomatic patient.
阑尾粪石，也称为粪结石或粪石，是由粪便物质组成的坚硬团块，嵌顿于阑尾内。它们通常被认为是成人急性阑尾炎和阑尾套叠的主要病因。我们报告一例无症状女性，在结肠镜检查时发现阑尾口下方有一个黏膜下肿物。切除阑尾口处一个疑似肿瘤的病变后，一块粪石挤出进入结肠腔。这是首例在无症状患者结肠镜检查期间发现并完全取出阑尾粪石的报告病例。
