SpyGlass/Cholangioscope-Assisted Colonoscopic Removal of Appendicolith as a Nonsurgical Alternative for Stump Appendicitis Management.

Sudan, Aarushi; Julka, Dhawani; Patel, Sunny A

Sudan, Aarushi; Julka, Dhawani; Patel, Sunny A.

Afiliación

Sudan A; Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Julka D; Guru Teg Bahadur Hospital, University College of Medical Sciences, New Delhi, India.
Patel SA; Department of Gastroenterology, Albert Einstein College of Medicine, Bronx, NY.

ACG Case Rep J ; 11(7): e01430, 2024 Jul.

Article en En | MEDLINE | ID: mdl-39006052

ABSTRACT

ABSTRACT

An appendicolith is a calcified mass which can obstruct the appendix often leading to recurrent appendicitis. Failure to extract fecalith at the time of appendectomy can lead to recurrent inflammation in the appendiceal stump. We describe a 28-year-old man with stump appendicitis due to a retained fecalith postappendectomy. Our approach, akin to interval appendectomy, combines antibiotics and endoscopic intervention postinfection resolution. This case highlights the feasibility and safety of endoscopic management, offering a nonsurgical alternative to prevent the morbidity associated with revision surgery. Further exploration of nonsurgical modalities is warranted to optimize patient outcomes.

Palabras clave

appendicolith; endoscopy; fecalith; medical management; stump appendicitis

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: ACG Case Rep J Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

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