Post-operative Appendix Specimen Retention Presenting as Small Bowel Obstruction

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 di...

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Bibliographic Details
Main Authors: Tiffany Proffitt, Kristen Whitworth, Christopher Trigger
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2017-10-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5666c3ks
Description
Summary: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. It is crucial to include rare surgical complications in our differentials, alongside the more common pathologies when approaching and treating patients with abdominal pain.
ISSN:2474-252X