Frontiers in surgery · 2025
The uncertain fate of a wandering appendicolith: personal experience and literature review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cavallaro Andrea, Zanghì Antonio, Di Mattia Paolo, Sanfilippo Filippo, La Via Luigi, Riccioli Giordana, Cappellani Alessandro, Tiralongo Kenya
Аннотация
INTRODUCTION: Retained appendicoliths are an uncommon but clinically relevant complication of appendectomy, particularly in cases of perforated appendicitis. Migration of the appendicolith into the peritoneal cavity or liver may lead to persistent or recurrent abscess formation.
CASE DESCRIPTION: We present the case of a 29-year-old male with recurrent hepatic abscesses following laparoscopic appendectomy. Initial CT and MRI imaging revealed calcified components within the liver consistent with a migrated appendicolith. Despite percutaneous drainage and antibiotic therapy, the patient experienced relapse. Definitive resolution was achieved through laparoscopic hepatic resection and removal of the retained appendicolith.
DISCUSSION: This case highlights the diagnostic challenges and potential complications associated with retained appendicoliths. Imaging plays a crucial role in identification and management. While conservative approaches may be attempted, surgical retrieval is often required to prevent recurrent infections.
CONCLUSION: Retained appendicoliths should be considered in the differential diagnosis of hepatic abscesses following appendectomy. Timely diagnosis and complete removal are essential to avoid long-term morbidity.
CASE DESCRIPTION: We present the case of a 29-year-old male with recurrent hepatic abscesses following laparoscopic appendectomy. Initial CT and MRI imaging revealed calcified components within the liver consistent with a migrated appendicolith. Despite percutaneous drainage and antibiotic therapy, the patient experienced relapse. Definitive resolution was achieved through laparoscopic hepatic resection and removal of the retained appendicolith.
DISCUSSION: This case highlights the diagnostic challenges and potential complications associated with retained appendicoliths. Imaging plays a crucial role in identification and management. While conservative approaches may be attempted, surgical retrieval is often required to prevent recurrent infections.
CONCLUSION: Retained appendicoliths should be considered in the differential diagnosis of hepatic abscesses following appendectomy. Timely diagnosis and complete removal are essential to avoid long-term morbidity.