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Case Report
Chronic steroid use and staple line failure after laparoscopic appendectomy
1 Surgery Resident, Surgery, HCA Healthcare, Ocala, FL, USA
2 Colorectal Surgeon, Surgery, University of Florida, Leesburg, FL, USA
Address correspondence to:
Alexa Wacker
1431 SW 1st Avenue, Ocala, FL 34470,
USA
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Article ID: 101544Z01AW2026
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How to cite this article
Wacker A, Sanchez CR. Chronic steroid use and staple line failure after laparoscopic appendectomy. Int J Case Rep Images 2026;17(2):22–25.ABSTRACT
Acute appendicitis is a common, usually benign inflammatory process of the appendix. It is typically treated with antibiotics or surgery. Transection of the appendix during surgery can be performed using a stapler, endoloops, or clips. We present the case of an 87-year-old male with acute appendicitis on chronic steroids who failed conservative management with antibiotics. He was treated with laparoscopic appendectomy using a powered stapler. We believe this is an unusual case reporting staple line failure after laparoscopic appendectomy in a patient with an intact staple line through viable tissue at the conclusion of surgery.
Keywords: Appendectomy, Re-operation, Staple line, Steroids
SUPPORTING INFORMATION
Author Contributions
Alexa Wacker - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Cesar Reategui Sanchez - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Alexa Wacker et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
