Sudan Aarushi, Julka Dhawani, Patel Sunny A
Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Guru Teg Bahadur Hospital, University College of Medical Sciences, New Delhi, India.
ACG Case Rep J. 2024 Jul 12;11(7):e01430. doi: 10.14309/crj.0000000000001430. eCollection 2024 Jul.
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.
阑尾粪石是一种钙化团块，可阻塞阑尾，常导致复发性阑尾炎。阑尾切除时未能取出粪石可导致阑尾残端反复发炎。我们描述了一名28岁男性，因阑尾切除术后粪石残留导致残端阑尾炎。我们的方法类似于间隔期阑尾切除术，在感染消退后联合使用抗生素和内镜干预。该病例突出了内镜治疗的可行性和安全性，提供了一种非手术替代方法，以预防与翻修手术相关的发病率。有必要进一步探索非手术方式以优化患者预后。
