Case Report
 
Retained fecaliths after laparoscopic appendectomy disappearing spontaneously with non-operative management
Hideki Katagiri1, Mai Ishitani1, Takashi Sakamoto1, Yasuo Yoshinaga1, Tadao Kubota1, Akira Miyabe1
1Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), Chiba, Japan.

doi: 10.5348/ijcri-2013-11-402-CR-16

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How to cite this article
Katagiri H, Ishitani M, Sakamoto T, Yoshinaga Y, Kubota T, Miyabe A. Retained fecaliths after laparoscopic appendectomy disappearing spontaneously with non-operative management. International Journal of Case Reports and Images 2013;4(11):650–653.


Abstract
Introduction: Intra-abdominal abscess after laparoscopic appendectomy is a well-known complication. In cases of perforated appendicitis, the frequency of postoperative intra-abdominal abscess formation can be up to 20%. However, intra-abdominal abscess due to retained fecaliths has rarely been reported.
Case Report: We present a rare case of retained fecaliths after laparoscopic appendectomy which disappeared spontaneously with non-operative management.
Conclusion: A retained fecalith following appendectomy is a rare complication and it has been reported that retained fecaliths should be removed immediately after their diagnosis because of its potential to cause abscess.

Keywords: Retained fecaliths, Laparoscopic appendectomy, Intra-abdominal abscess


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Author Contributions
Hideki Katagiri – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Mai Ishitani – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Takashi Sakamoto – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Yasuo Yoshinaga – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Tadao Kubota – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Akira Miyabe – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Hideki Katagiri et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)