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Appendicular and Caecal Fecalith causing Perforation: A Case Report
Rojan Adhikari1, Prashant Simkhada2, Deependra Mandal3
1Department of Surgery, Kathmandu Model Hospital, Adwait Marg, Kathmandu, Nepal.
Abstract:
Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Though appendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths are amenable to conservative management with laxatives and enemas but surgical management prevents recurrence. We present a case of 27 years old male who was diagnosed with acute appendicitis with peritonitis. He was intraoperatively diagnosed as gangrenous and perforated retrocaecal appendix with multiple small fecaliths and a large fecalith on cecum with perforation. Appendectomy and primary repair of caecal perforation done. Histological examination of perforated margin confirmed as an inflammatory lesion.
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