Successful Endoscopic Retrograde Appendicitis Therapy Following a Recent ST-Elevation Myocardial Infarction

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Acute appendicitis is a common surgical emergency.
• Appendectomy (laparoscopic or open) is the standard treatment.
• Antibiotic therapy is a noninferior alternative for uncomplicated cases.

Observation:

• A 59-year-old male patient with ST-elevation myocardial infarction had acute appendicitis with an appendicolith.
• The patient underwent a novel endoscopic retrograde appendicitis therapy.

Findings:

• The endoscopic retrograde appendicitis therapy was successful in this case.
• This approach offers a minimally invasive treatment option.

Implications:

• Endoscopic retrograde appendicitis therapy may be a viable alternative for treating acute appendicitis, particularly when appendicoliths are present.
• Further research is warranted to establish this technique as a standard treatment.
• This approach could reduce surgical morbidity in high-risk patients.