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Perihepatic abscesses caused by dropped appendicoliths in a child
Suprit C Singh1, Fabiola Weber1,2, Arthur B Meyers1,2
1University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA.
Radiology Case Reports
|October 9, 2018
Summary
Dropped appendicoliths, or expelled appendix stones, can cause serious infections after laparoscopic surgery. This case highlights how these retained foreign bodies led to two perihepatic abscesses in a pediatric patient.
Area of Science:
- Surgical complications
- Pediatric surgery
- Infectious disease
Background:
- Dropped appendicoliths are a known complication of laparoscopic appendectomy.
- These retained foreign bodies can act as a nidus for infection, potentially leading to abscess formation.
- Early identification and management are crucial to prevent secondary complications.
Observation:
- A 10-year-old pediatric patient underwent laparoscopic appendectomy.
- Two appendicoliths were inadvertently dropped during the surgical procedure.
- The patient subsequently developed two perihepatic abscesses.
Findings:
- The dropped appendicoliths served as the source of infection for the perihepatic abscesses.
- Imaging revealed focal, high-attenuation areas consistent with retained appendicoliths.
- Abscess formation occurred in the region adjacent to the liver.
Implications:
- This case underscores the importance of meticulous surgical technique during laparoscopic appendectomy to prevent dropped appendicoliths.
- Prompt diagnosis and management of retained appendicoliths are essential to avoid serious intra-abdominal infections.
- Awareness of this complication is critical for surgeons managing pediatric patients.
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