Colonoscopic titanium clipping to Maddress appendiceal stump leakage: a case report

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Case Study

Background:

• Appendiceal stump leakage (ASL) is a rare (0.5%-1.0%) yet catastrophic complication of appendectomy, associated with high mortality.
• Traditional management often involves invasive procedures like extended resection, leading to significant patient morbidity and increased healthcare costs.

Observation:

• A 70-year-old male with gangrenous perforated appendicitis developed ASL after initial surgery and stoma reversal.
• The patient presented with right lower quadrant pain and low fever, indicative of recurrent leakage.

Findings:

• Endoscopic management using titanium clips successfully sealed the appendiceal stump leakage.
• This minimally invasive approach avoided the need for further destructive surgical interventions.

Implications:

• Endoscopic clipping offers a less invasive and potentially safer alternative for managing appendiceal stump leakage.
• This technique may reduce patient trauma, hospital stays, infection rates, and overall treatment costs.