27 results match your criteria retained appendicolith

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Between a rock and a hard place: retained appendicolith causing a mechanical small bowel obstruction.

J Surg Case Rep 2020 Sep 30;2020(9):rjz393. Epub 2020 Sep 30.

Hepatobiliary Surgery, St Bartholomew's Hospital, London, UK.

Here we report an unusual case of small bowel obstruction, preluded by an unremarkable presentation of appendicitis. The small bowel obstruction subsequently diagnosed involved deposition of an appendicolith within the small bowel. Radiographic features of this incident are discussed along with its pathomechanics. Read More

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September 2020

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

Percutaneous removal of a retained appendicolith causing recurrent perihepatic abscesses between the liver and diaphragm.

BMJ Case Rep 2019 Jul 18;12(7). Epub 2019 Jul 18.

Department of Interventional Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Many cases of appendicitis can be associated with appendicoliths. These may sometimes be lost during appendectomies and may be lodged in the body. Most of these cases lead to recurrent abscess formation, and these appendicoliths invariably need removal. Read More

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Empyema Due to Thoracic Migrating Appendicolith.

Indian Pediatr 2018 07;55(7):603-604

Department of Paediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India.

Background: Retained appendicolith following appendicectomy, and can cause recurrent abscess in the abdomen and retroperitoneum.

Case Characteristics: 11-yr-old boy who presented with subpulmonic abscess and pneumonia following appendicectomy for perforated appendicitis.

Observation: Thoracotomy revealed a thick walled subpulmonic abscess surrounding an appendicolith along with a rent in the posterolateral aspect of the diaphragm. 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

Percutaneous extraction of appendicolith an extension of endourology corridor.

Clin Case Rep 2018 May 8;6(5):967-968. Epub 2018 Mar 8.

Queen Elizabeth Hospital Birmingham U.K.

Percutaneous procedure represents a novel, easy, and safe removal of retained appendicolith. This gives an advantage of less invasive treatment, shorter hospital stay, and enhanced recovery of the patients. Read More

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Preperitoneal abscess secondary to a retained appendicolith: an uncommon complication in an uncommon location.

ANZ J Surg 2018 Jun 26;88(6):648-649. Epub 2016 Feb 26.

Department of Surgery, Western Health, Melbourne, Victoria, Australia.

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Liver Abscess Due to Dropped Appendicolith after Laparoscopic Appendectomy.

J Belg Soc Radiol 2015 Dec 30;99(2):47-49. Epub 2015 Dec 30.

Department of Radiology, University Hospital Brussels, Laarbeeklaan 101, 1090 Brussels, Belgium.

The lifetime risk of appendicitis is 6 to 7 % [1]. When appendicitis is clinically suspected, an appendicolith can be found in 30% of the patients [2]. An appendicolith may be retained post-operatively ('dropped appendicolith') due to previous perforation, non-recognition during surgery or the impossibility to remove it. Read More

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December 2015

The 'wandering appendicolith'.

Pediatr Radiol 2015 Jul 6;45(7):1091-4. Epub 2014 Dec 6.

Thoracic Imaging, MD Anderson Cancer Center, The University of Texas, 1515 Holcombe Blvd., Unit 1478, Houston, TX, 77030-4008, USA,

Acute appendicitis is a common pediatric surgical emergency. Successful surgical appendectomy requires removal of the appendix and its contents. A retained appendicolith is a complication that occurs when the appendicolith is expulsed from the appendix as a result of perforation or failure of removal during surgery. Read More

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Shortness of breath, fever and abdominal pain in a 21-year-old student.

BMJ Case Rep 2013 Oct 14;2013. Epub 2013 Oct 14.

Department of Hepatobiliary Surgery, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.

A 21-year-old patient presented with a 3-day history of shortness of breath, productive cough, fatigue, fevers and night sweats, associated with right upper quadrant pain. He had an appendicectomy 3 months previously. The CT images showed a right subphrenic collection, which was indenting the right lobe of the liver, with an appendicolith in the middle. Read More

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October 2013

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

An uncommon late complication of appendicitis.

Pediatr Emerg Care 2010 Oct;26(10):757-8

Department of Emergency Medicine, Children's Memorial Hermann Hospital, University of Texas Health Science Center, Houston, TX, USA.

A 10-year-old boy presented with a 2.5-week history of right leg pain and limp. A right flank mass was noted by a parent on the day of presentation. Read More

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October 2010

Retained appendicolith in an inflamed appendix.

Emerg Radiol 2009 Mar 22;16(2):105-9. Epub 2008 Oct 22.

Department of Surgery, Nagoya Ekisaikai Hospital, 4-66 Shohnen-cho, Nakagawa-ku, Nagoya 4548502, Japan.

Risk factors for progression to advanced appendicitis have not been clarified. The purpose of this study was to investigate whether the presence of appendicolith on computed tomography (CT) is related to progression of pathologic grade. We performed a retrospective review of 46 consecutive patients who underwent appendectomy and who had an inflamed appendix on CT scan. Read More

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Extraluminal appendicolith: an indication for interval appendectomy with intraoperative localization and removal of that potential cause of intra-abdominal abscess.

J Laparoendosc Adv Surg Tech A 2008 Aug;18(4):606-8

Department of Surgery A, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Appendicoliths are formed by calcium salts and fecal debris layered and lodged within the appendix. They are detected on unenhanced X-rays in <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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The ectopic appendicolith from perforated appendicitis as a cause of tubo-ovarian abscess.

Pediatr Radiol 2008 Sep 22;38(9):1006-8. Epub 2008 May 22.

University of Rochester Medical Center, 610 Elmwood Avenue, Rochester, NY 14642, USA.

Acute appendicitis is a common surgical cause of abdominal pain in the pediatric population. History and physical examination are atypical in up to a third of patients. Known potential complications of untreated or delayed management of acute appendicitis include appendiceal perforation, periappendiceal abscess formation, peritonitis, bowel obstruction and rarely septic thrombosis of mesenteric vessels. Read More

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September 2008

Dropped appendicolith: CT findings and implications for management.

AJR Am J Roentgenol 2008 Mar;190(3):707-11

Department of Radiology, University of Massachusetts Memorial Medical Center, Worcester, MA, USA.

Objective: The aim of this study was to discern the CT features of appendicoliths retained after appendectomy and evaluate the management options.

Conclusion: Retained, or dropped, appendicolith most often presents as an area of high attenuation less than 1 cm in diameter with an associated abscess close to the cecum or Morison's pouch. CT-guided drainage can be used to manage abscesses associated with dropped appendicolith in selected cases. Read More

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Percutaneous retrieval of a retained appendicolith.

Cardiovasc Intervent Radiol 2007 Mar-Apr;30(2):342-4

Department of Diagnostic Imaging, The Ottawa Hospital and University of Ottawa, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada.

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Laparoscopic ultrasonography for localization of a retained appendicolith after appendectomy.

J Ultrasound Med 2006 Oct;25(10):1361-3

Department of Diagnostic Radiology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemoon-ku, Seoul 120-752, Korea.

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October 2006

The usefulness of CT guided drainage of abscesses caused by retained appendicoliths.

Eur J Radiol 2006 Oct 1;60(1):80-3. Epub 2006 Aug 1.

Department of Radiology, The Adelaide and Meath Hospital, Tallaght, Dublin, Ireland.

Objectives: To determine the utility of percutaneous computed tomography (CT) guided drainage of abscesses formed secondary to retained appendicoliths.

Materials And Methods: A retrospective review was conducted over a 5-year period to identify patients who underwent CT guided drainage of abscesses related to retained appendicoliths. Inclusion criteria were a history of prior proven appendicitis treated by laparoscopic appendicectomy, identification of a post-operative abscess related to a visualised retained appendicolith and initial treatment by CT guided drainage. Read More

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October 2006

CT-guided Kopans hookwire placement for preoperative localization of an appendicolith.

Authors:
Steven V Lossef

AJR Am J Roentgenol 2005 Jul;185(1):81-3

Department of Radiology, Children's National Medical Center, 111 Michigan Ave., NW, Washington, DC 20010, USA.

Objective: Retained appendicoliths that have spilled into the peritoneal cavity after appendectomy may act as a nidus for recurrent abscess. Appendicoliths are often small and located in inaccessible recesses of the peritoneum, making surgical localization and removal difficult. The objective of the study was to facilitate surgical removal of an appendicolith using a Kopans breast localization hookwire placed with CT guidance. Read More

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Retained appendicolith after laparoscopic appendectomy: the need for systematic double ligature of the appendiceal base.

Surg Endosc 2004 Apr;18(4):717-8

Department of General and Endocrine Surgery, Lille University Hospital, Rue Michel Polonovski, 59037 Lille Cedex, France.

Appendicoliths are considered to be strong indicators of appendicitis and the complications of appendicitis. We report the case of a 29-year-old woman who underwent a laparoscopic appendectomy for appendicitis with an appendicolith. The appendix was divided with a single ligature at the appendiceal base, and an appendicolith escaped into the pelvis. Read More

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Percutaneous removal of retained calculi from the abdomen.

Cardiovasc Intervent Radiol 2003 Jan-Feb;26(1):81-4. Epub 2003 Jan 15.

Department of Radiology, South Manchester University Hospitals Trust, Wythenshawe Hospital, Manchester M23 9LT, UK.

With rising pressure placed on health service resources minimally invasive techniques requiring only short hospital admissions are increasing in importance. We describe the techniques used to remove calculi from the peritoneal cavity which had been retained after surgery and continued to cause clinical problems. In both cases described the calculi lay within abscess cavities associated with fistulous tracks to the skin. Read More

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Significance of retained barium in the appendix.

AJR Am J Roentgenol 1980 Oct;135(4):753-6

Barium is occasionally retained in the appendix after radiographic examinations of the gastrointestinal tract, and its significance has been debated for many years. This report details three cases in which barium was present in the appendix at the time of acute appendicitis. Review of these three cases and 13 cases previously reported suggests that retained appendiceal barium may be significant when it exists in either of two patterns. Read More

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October 1980
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