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Surgical Management of a Retained Appendicolith Following Laparoscopic Appendectomy
Maianh Tran1, Dominic Najjar2, John Popovich1
1General Surgery, Mercy Medical Center, Des Moines, USA.
Laparoscopic appendectomy can lead to retained appendicoliths, causing recurrent infections. This case highlights a laparoscopic approach with interventional radiology to remove the stone, preventing further complications and hospitalizations.
Area of Science:
- Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Appendicitis is a common surgical emergency requiring intervention.
- Laparoscopic appendectomy offers benefits but can lead to complications like abscesses.
- Retained appendicoliths are a rare cause of recurrent appendicitis infections.
Observation:
- A patient presented with recurrent infections due to a retained appendicolith after laparoscopic appendectomy.
- The appendicolith served as a nidus for repeated infectious episodes.
Findings:
- A laparoscopic hand-assisted approach was employed for stone retrieval.
- Interventional radiology was utilized to assist with the localization of the appendicolith.
Implications:
- Laparoscopic removal of retained appendicoliths offers definitive source control.
- This approach can reduce repeated hospital admissions for recurrent infections.
- Combining surgical and interventional radiology techniques can improve outcomes for rare appendicitis complications.
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