29 results match your criteria appendicolith rare

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Hepatic abscess: An uncommon complication after laparoscopic appendectomy.

Ann Ital Chir 2021 Apr 19;10. Epub 2021 Apr 19.

Aim: Laparoscopic appendectomy is currently the treatment of choice for acute appendicitis in emergency setting. When appendicitis is clinically suspected, an appendicolith can be found in 30% of the patients. Retained or dropped appendicoliths are an uncommon complication that may occur as a consequence of stone expulsion from the appendix, before or during laparoscopic appendectomies. Read More

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An asymptomatic detachment of the appendix evolved to giant abscess and complete colliquative necrosis: pivotal role of computed tomography in patient management.

BJR Case Rep 2021 Apr 11;7(2):20200125. Epub 2020 Dec 11.

Department of Radiology, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Acute appendicitis (AA) is one of the most common causes of acute abdominal pain and it generally affects young males in the second or third decade of their life. Due to its often insidious presentations, the diagnosis is challenging and, if delayed, can lead to life-threatening complications. This report describes a rare case of an almost asymptomatic complicated appendicitis caused by an appendicolith followed by spontaneous detachment of the vermiform appendix and its complete colliquative necrosis with abscess formation. Read More

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Appendiceal Goblet Cell Adenocarcinoma Case Report and Review of the Literature.

Cureus 2021 Feb 23;13(2):e13511. Epub 2021 Feb 23.

Surgery, Beaumont Health, Dearborn, USA.

Acute appendicitis is a common presentation to the emergency department. The common pathogenesis thereof relates to obstruction of the appendiceal lumen by an appendicolith, which leads to an increase in intraluminal and intramural pressure. This is followed by distension of the appendix, subsequent small vessel occlusion and lymphatic stasis, and appendiceal wall ischemia and necrosis, eventually leading to rupture if not treated. Read More

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February 2021

Stump Appendicitis: Clinical and CT Findings.

AJR Am J Roentgenol 2020 12 6;215(6):1363-1369. Epub 2020 Oct 6.

Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3252.

Recurrent inflammation of the appendiceal stump after appendectomy is rare; published case series have included no more than six patients. The purpose of this study was to report the clinical and CT findings in a larger original series. A combined PACS and electronic medical record search identified the cases of 14 patients (nine men, five women; mean age, 42. Read More

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December 2020

Barium Appendicitis 6 Weeks After Upper Gastrointestinal Imaging.

Front Pediatr 2020 2;8:535. Epub 2020 Sep 2.

Department of General Surgery, The Third People's Hospital of Dalian, Dalian Medical University, Dalian, China.

Barium sulfate is widely used for gastroenterology imaging. Retention of barium in the appendix, where it acts as an appendicolith, thereby leading to obstruction and inflammation. Barium-associated appendicitis is a very rare complication of upper gastrointestinal imaging (UGI), especially in children. Read More

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September 2020

Appendicitis Caused by Endometriosis Within the Bowel Wall.

Cureus 2020 Aug 8;12(8):e9614. Epub 2020 Aug 8.

General and Colorectal Surgery, Boca Raton Regional Hospital/Florida Atlantic University, Boca Raton, USA.

Acute appendicitis is one of the most common causes of acute abdominal pain seen in the emergency room. Common etiologies include obstructing appendicolith and lymphoid adenopathy. Appendiceal endometriosis is rare and typically involves the serosal layer. Read More

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Giant Appendicolith: A Case Report and Review of the Literature.

Mil Med 2020 09;185(9-10):e1851-e1853

Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.

Acute appendicitis is one of the most prevalent causes of an acute abdomen. Although the cause of appendicitis is not completely understood, the theory of luminal obstruction is a popular belief, with appendicoliths being a common etiology. While appendicoliths are quite common, giant appendicoliths >2 cm are rare. Read More

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September 2020

Actinomycosis of the appendix mimicking cecal tumor treated by single-port laparoscopic approach.

Ann Coloproctol 2020 Mar 16. Epub 2020 Mar 16.

Department of Surgery, School of Medicine, Dongsan Medical Center, Keimyung University, Daegu, Korea.

Actinomycosis is an inflammatory disease which has many kinds of clinical presentation including inflammation, mass forming form. There are several reports suggesting infiltrative mass like nature of actinomycosis which is misunderstood as tumor. A 39-year old male was found fungating mass like lesion in colonoscopy which was undergone for healthcare screening. Read More

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A large radiopaque appendicolith in an 8-year-old child.

J Minim Access Surg 2020 Oct-Dec;16(4):424-425

Department of Anaesthesiology, Synergy Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Appendicoliths are one of the most common causes of acute appendicitis. However, giant radiopaque appendicoliths are rare, especially in paediatric age group. We report a case of acute appendicitis in an 8-year-old boy due to a large 2-cm radiopaque appendicolith treated successfully by laparoscopic appendectomy. Read More

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January 2020

Giant Appendicolithiasis Presenting with Chronic Abdominal Pain and Mass: A Case Report.

Ethiop J Health Sci 2019 May;29(3):417-419

Department of Surgery SPHMMC, Addis Ababa, Ethiopia.

Background: Appendicitis is the most common cause of acute abdomen. The diagnosis of appendicitis can be easy when it presents with the classical symptoms or is very challenging when present with atypical presentation. Around 20-30% of patients operated on for appendicitis have appendicolithiasis. Read More

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Post-operative Appendix Specimen Retention Presenting as Small Bowel Obstruction.

Clin Pract Cases Emerg Med 2017 Nov 3;1(4):287-290. Epub 2017 Oct 3.

Lakeland Health, Department of Emergency Medicine, Saint Joseph, Michigan.

One rare complication of appendectomy is a retained appendicolith, which can become a focal point for infection presenting hours to years after surgery. We present a case in which a 50-year-old male presented to the emergency department with a small bowel obstruction one week post appendectomy. A diagnostic laparoscopy was performed, and a necrotic appendiceal specimen containing a staple line across the base as well as an appendicolith was removed. Read More

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November 2017

Unusual Entities of Appendix Mimicking Appendicitis Clinically - Emphasis on Diagnosis and Treatment.

Maedica (Bucur) 2017 Jan;12(1):23-29

Department of Surgery, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana (Distt-Ambala), Haryana, India.

Background: Abdomen is considered a magic box or a Pandora box where you will get different, unexpected pathologies along with rare entities. Appendicitis is the commonest emergency in surgery which presents challenges to surgeons because of a myriad list of differential diagnosis including both medical and gynaecological pathologies. Preoperative imaging plays an important role in diagnosis and management. Read More

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January 2017

Medical mishap as a cause of non-resolving pneumonia.

Pediatr Pulmonol 2017 10 30;52(10):E67-E69. Epub 2017 May 30.

Pediatric Pulmonary Institute and CF Center, Ruth Rappaport Children's Hospital, Rambam Health Care Campus, Haifa, Israel.

A 15-year old boy was referred for evaluation of fever, productive cough, and recurrent/persistent right lower lobe (RLL) pneumonia of 1-month duration. Chest computed tomography scan showed RLL consolidation, with minimal pleural effusion and a liver abscess with sharp borders, containing a solid calcification in the lower portion. History revealed acute appendicitis with laparoscopic appendectomy 6 months prior to presentation, during which a fecalith dropped to the peritoneal cavity. Read More

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October 2017

Retrospective study of 24 cases of acute appendiceal diverticulitis: CT findings and pathological correlations.

Jpn J Radiol 2017 May 28;35(5):225-232. Epub 2017 Feb 28.

Department of Radiology, Istanbul Training and Research Hospital, Istanbul, Turkey.

Purpose: Appendiceal diverticulitis is relatively rare and is difficult to distinguish clinically and radiologically from acute appendicitis. The aim of this study was to describe the computed tomography (CT) findings of acute appendiceal diverticulitis.

Materials And Methods: Among the 1329 patients who underwent appendectomy at our institution between January 2010 and July 2015, 28 were diagnosed pathologically with appendiceal diverticulitis, including 24 patients who were evaluated by preoperative CT. Read More

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Giant appendicolith: Rare finding in a common ailment.

J Minim Access Surg 2016 Apr-Jun;12(2):170-2

Department of Radiology, Mahajan Imaging Centre, New Delhi, India.

Acute appendicitis is one of the commonest surgical emergencies worldwide. There is considerable variation in prevalence of appendicoliths with appendicitis. Most of the patients with appendicoliths are asymptomatic and they are not pathognomic for acute appendicitis. Read More

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Sonographically detected free appendicolith as a sign of retrocecal perforated appendicitis in a 2-year-old child.

J Clin Ultrasound 2016 Jul 18;44(6):395-398. Epub 2016 Feb 18.

Radiology Department, Institute for Children and Adolescents Health Care of Vojvodina, Medical Faculty, University of Novi Sad, Hajduk Veljkova 10, 21000, Novi Sad, Serbia.

Prompt and accurate diagnosis of perforated appendicitis is crucial for proper and timely treatment. The appendix, however, cannot always be identified with sonography (US). We report the case of a 2-year-old child with atypical clinical presentation, and US detection of a free appendicolith as a sign of perforated appendicitis, without visualization of the appendix itself. Read More

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A Four-Year Hospital Journey for a Lost and Migrating Appendicolith.

Case Rep Surg 2015 4;2015:832434. Epub 2015 Aug 4.

Department of Surgery, Cantonal Hospital Graubünden, Loëstrasse 170, 7000 Chur, Switzerland.

We report a rare case of recurrent abscess formation, including being at a retroperitoneal site, due to a lost and migrating appendicolith. Over a four-year period and following an episode of perforated appendicitis, an otherwise healthy young man underwent two operations for abscess formation with eventual stone removal. Appendicoliths can pose a challenge during the diagnostic and therapeutic journey, and adequate attempts at removal need to be made to prevent avoidable complications. Read More

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September 2015

Long-term results of nonoperative treatment for uncomplicated acute appendicitis.

Turk J Gastroenterol 2014 Aug;25(4):393-7

Department of General Surgery, Fırat University Faculty of Medicine, Elazığ, Turkey.

Background/aims: This study aimed to assess the long-term (>12 months) efficacy of nonoperative treatment (antibiotic administration) in the management of uncomplicated acute appendicitis (AA).

Materials And Methods: We surveyed uncomplicated AA patients who elected to undergo nonoperative treatment between 2010 and 2012. A binary logistic regression analysis was performed to identify the critical predictors of recurrence. Read More

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A case of endoscopic removal of a giant appendicolith combined with stump appendicitis.

Clin Endosc 2014 Jan 24;47(1):112-4. Epub 2014 Jan 24.

Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.

Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. Read More

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January 2014

A rabbit's revenge: shotgun pellet appendicitis.

Acta Chir Belg 2012 Nov-Dec;112(6):457-9

Department of Surgery, Heilig Hart Tienen, Belgium.

Introduction: Appendicitis and its complications remain a common problem affecting patients of all age groups. Appendicitis due to foreign bodies is rare and carries an estimated frequency of 0.0005%. Read More

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February 2013

Giant appendicolith, a rare cause of chronic right iliac fossa pain.

Am Surg 2012 Nov;78(11):E493-4

2nd Department of Surgery, Army General Hospital, Athens, Greece.

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November 2012

Appendicular abscess with appendicolith in a Spigelian hernia masquerading caecal volvulus-A case report.

Int J Surg Case Rep 2012 13;3(9):481-2. Epub 2012 Jun 13.

Department of Emergency Medicine, North Middlesex University Hospital, London N18 1QX, UK.

Introduction: Spigelian hernias are rare hernias of the anterior abdominal wall named after Adrian van den Spiegel, the anatomist who first described them in the 16th century. They represent around 2% of all hernias.

Presentation Of Case: We present an 83-year-old female with one week history of a painful right iliac fossa swelling, her examination revealed a tender lump with no cough impulse and non-reducible and her computed tomography (CT) scan showed a mass anterior to ileocaecal valve suggestive of a caecal volvulus. Read More

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October 2012

Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: sonographic findings.

J Clin Ultrasound 2013 Jul-Aug;41(6):366-9. Epub 2012 May 10.

Department of Radiology, Santa Clara Valley Medical Center, San Jose, CA, USA.

We report the case of a 6-year-old girl presenting with acute appendicitis complicated by perforated appendix, followed by perihepatic abscess associated with ectopic appendicoliths. CT findings were initially suspicious for an intrahepatic abscess with internal calcifications. However, on sonography the abscess appeared to be in a perihepatic location. Read More

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February 2014

A complication of a dropped appendicolith misdiagnosed as Crohn's disease.

Ann R Coll Surg Engl 2011 Sep;93(6):e117-8

East Kent Hospitals NHS Foundation Trust, Canterbury, UK.

Appendicoliths are formed by calcium salts and faecal debris layered and lodged within the appendix. They are detected on unenhanced x-rays in less than 10% of patients with appendicitis. When an appendicolith is found extraluminally, it is pathognomonic for perforation of the appendix. Read More

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September 2011

Perihepatic abscess secondary to retained appendicolith: A rare complication managed laparoscopically.

J Surg Case Rep 2011 Jan 1;2011(1). Epub 2011 Jan 1.

Weston General Hospital, Weston-super-Mare, UK.

Appendicectomy is one of the commonest emergency operations performed worldwide. In cases of perforated appendicitis, the prevalence of post-operative abscess formation is up to 20 per cent (1). Most cases can be managed with drainage and antibiotics. Read More

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January 2011

Appendicolithiasis causing diagnostic dilemma: a rare cause of acute appendicitis (report of a case).

Ulus Travma Acil Cerrahi Derg 2008 Oct;14(4):323-5

Department of General Surgery, Medicine Faculty of Pamukkale University, Denizli, Turkey.

Appendicolithiasis is a condition characterized by a concretion in the vermiform appendix. Appendicoliths are found in 10% of patients with acute appendicitis, but they are seen more frequently in perforated appendicitis and in abscess formation. We herein report a case of acute appendicitis due to appendicolithiasis, which mimics acute disorders of the genitourinary tract and causes diagnostic confusion. Read More

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October 2008

Laparoscopic management of gallstone presenting as obstructive gangrenous appendicitis.

J Laparoendosc Adv Surg Tech A 2005 Dec;15(6):627-9

Department of General Surgery, Sir Ganga Ram Hospital, New Delhi, India.

We present an unusual case of a 55-year-old man with symptoms of recurrent appendicitis. Laparoscopy revealed a 1.5 cm gallstone impacted at the base of the appendix, leading to gangrenous appendicitis. Read More

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December 2005

[Postappendectomy abscess--the role of fecoliths].

Swiss Surg 2001 ;7(5):205-8

Chirurgische Klinik, Univ.-Kinderspital, Zürich.

Intraabdominal abscess formation is the most common septical complication after perforated appendicitis. An appendiceal fecalith favours appendicitis and is a high risk for complications like perforation or abscess formation. In a 6 year period 554 patients have been treated operatively for appendicitis in our institution. Read More

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December 2001
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