A recurrent retrohepatic abscess secondary to a dropped appendicolith

Appendicoliths can drop into the peritoneal cavity during the course of an appendicectomy, or more commonly as a result of perforated appendicitis. We report the case of a patient with a history of recurrent retrohepatic abscesses over 7-year period due to a retained appendicolith and review the lit...

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Main Authors: Shahzeb Sheikh, BSc (Hons), MBChB, Muskan Kaur, BMedSci, Abed M. Zaitoun, PhD, FRCPath, Dileep N. Lobo, DM, FRCS, FACS, FRCPE
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332300955X
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author Shahzeb Sheikh, BSc (Hons), MBChB
Muskan Kaur, BMedSci
Abed M. Zaitoun, PhD, FRCPath
Dileep N. Lobo, DM, FRCS, FACS, FRCPE
author_facet Shahzeb Sheikh, BSc (Hons), MBChB
Muskan Kaur, BMedSci
Abed M. Zaitoun, PhD, FRCPath
Dileep N. Lobo, DM, FRCS, FACS, FRCPE
author_sort Shahzeb Sheikh, BSc (Hons), MBChB
collection DOAJ
description Appendicoliths can drop into the peritoneal cavity during the course of an appendicectomy, or more commonly as a result of perforated appendicitis. We report the case of a patient with a history of recurrent retrohepatic abscesses over 7-year period due to a retained appendicolith and review the literature on perihepatic abscesses caused by retained appendicoliths. The abscess had been drained percutaneously 4 times without retrieval of the appendicolith and eventually the patient needed a laparotomy, drainage of the abscess, and extraction of the appendicolith. Treatment of abscesses secondary to dropped appendicoliths may be percutaneous, laparoscopic, or via conventional open surgery, but it is important to retrieve the appendicolith if recurrent abscess formation is to be avoided.
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spelling doaj.art-bc18f6df24be4597967d292dd2e2a2b32024-01-11T04:31:14ZengElsevierRadiology Case Reports1930-04332024-03-0119311761180A recurrent retrohepatic abscess secondary to a dropped appendicolithShahzeb Sheikh, BSc (Hons), MBChB0Muskan Kaur, BMedSci1Abed M. Zaitoun, PhD, FRCPath2Dileep N. Lobo, DM, FRCS, FACS, FRCPE3Nottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK; National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UKNottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK; National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UKNottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK; National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UKNottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK; National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UK; MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UK; Corresponding author.Appendicoliths can drop into the peritoneal cavity during the course of an appendicectomy, or more commonly as a result of perforated appendicitis. We report the case of a patient with a history of recurrent retrohepatic abscesses over 7-year period due to a retained appendicolith and review the literature on perihepatic abscesses caused by retained appendicoliths. The abscess had been drained percutaneously 4 times without retrieval of the appendicolith and eventually the patient needed a laparotomy, drainage of the abscess, and extraction of the appendicolith. Treatment of abscesses secondary to dropped appendicoliths may be percutaneous, laparoscopic, or via conventional open surgery, but it is important to retrieve the appendicolith if recurrent abscess formation is to be avoided.http://www.sciencedirect.com/science/article/pii/S193004332300955XAppendicolithComplicationsPerforated appendicitisPerihepatic abscessTreatment
spellingShingle Shahzeb Sheikh, BSc (Hons), MBChB
Muskan Kaur, BMedSci
Abed M. Zaitoun, PhD, FRCPath
Dileep N. Lobo, DM, FRCS, FACS, FRCPE
A recurrent retrohepatic abscess secondary to a dropped appendicolith
Radiology Case Reports
Appendicolith
Complications
Perforated appendicitis
Perihepatic abscess
Treatment
title A recurrent retrohepatic abscess secondary to a dropped appendicolith
title_full A recurrent retrohepatic abscess secondary to a dropped appendicolith
title_fullStr A recurrent retrohepatic abscess secondary to a dropped appendicolith
title_full_unstemmed A recurrent retrohepatic abscess secondary to a dropped appendicolith
title_short A recurrent retrohepatic abscess secondary to a dropped appendicolith
title_sort recurrent retrohepatic abscess secondary to a dropped appendicolith
topic Appendicolith
Complications
Perforated appendicitis
Perihepatic abscess
Treatment
url http://www.sciencedirect.com/science/article/pii/S193004332300955X
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