Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 4/2004

01-04-2004 | Case report

Retained appendicolith after laparoscopic appendectomy: the need for systematic double ligature of the appendiceal base

Authors: P. Guillem, E. Mulliez, C. Proye, F. Pattou

Published in: Surgical Endoscopy | Issue 4/2004

Login to get access

Abstract

Appendicoliths are considered to be strong indicators of appendicitis and the complications of appendicitis. We report the case of a 29-year-old woman who underwent a laparoscopic appendectomy for appendicitis with an appendicolith. The appendix was divided with a single ligature at the appendiceal base, and an appendicolith escaped into the pelvis. Thereafter, the patient suffered recurrent pelvic abscess. The diagnosis of retained appendicolith was made by repeated CT scans that revealed a mobile spontaneous calcification within the abscess. This postoperative complication could have been avoided if a systematic division of the appendix had been performed between double ligatures.
Literature
1.
Chapman, P, Milner, SM 1986Escaped faecolith after appendicectomy.Br J Surg731006
2.
Lin, BHJ, Stull, MA, Grant, T 1996Extraluminal appendicolith in perforating appendicitis.Am J Roentgenol1661499
3.
Lowe, LH, Penney, MW, Scheker, LE, Perez, R, Stein, SM, Heller, RM, Shyr, Y,  et al. 2000Appendicolith revealed on CT in children with suspected appendicitis: how specific is it in the diagnosis of appendicitis?Am J Roentgenol175981984
4.
Sade, RM 1970Very late wound infection due to retained fecalith.Arch Surg101624625PubMed
5.
Siegel, MJ 1992Acute appendicitis in childhood: the role of ultrasound.Radiology185341342PubMed
6.
Simonovsky, V 1999Sonographic detection of normal and abnormal appendix.Clin Radiol54533539PubMed
Metadata
Title
Retained appendicolith after laparoscopic appendectomy: the need for systematic double ligature of the appendiceal base
Authors
P. Guillem
E. Mulliez
C. Proye
F. Pattou
Publication date
01-04-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-4265-2

Other articles of this Issue 4/2004

Surgical Endoscopy 4/2004 Go to the issue

Original article

Laparoscopic approach to postoperative adhesive obstruction

Original article

Suprapancreatic and periportal lymph nodes are normally larger than 1 cm by laparoscopic ultrasound evaluation

Original article

Modified devascularization surgery for isolated gastric varices assessed by endoscopic ultrasonography

Case report

Management of an unclear bile duct stenosis

Original article

Totally laparoscopic transhiatal esophago-gastrectomy without thoracic or cervical access: The least invasive surgery for adenocarcinoma of the cardia?

Original article

Partial laparoscopic decapsulation of congenital splenic cysts: a medium-term evaluation proves the efficiency in children