Appendicular and Caecal Fecalith causing Perforation: A Case Report

Adhikari, Rojan; Simkhada, Prashant; Mandal, Deependra; Kunwar, Ashok Kumar; Dhital, Saroj

doi:10.31729/jnma.4711

Cited by 2 publications

(1 citation statement)

References 8 publications

(8 reference statements)

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“…Fecaliths can occur anywhere in the intestinal tract, though they are most common in the colon or rectum [ 1 ]. The pathophysiology of fecalith formation is usually associated with decreased peristalsis in the lower gastrointestinal tract, dehydration, and consumption of a low-fiber diet [ 2 ]. The inability to pass stool for a prolonged period can lead to the formation of fecaliths due to the hardening of fecal material that forms a mass separate from other bowel contents [ 1 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith

Fukushima

Itô

Tomida

et al. 2022

Case Rep Gastroenterol

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The inability to pass stool for a prolonged period can lead to the formation of fecaliths, which occurs most often in the colon or rectum. Although large fecaliths can lead to serious or life-threatening complications, the detailed process of their formation is unknown. This report describes a 65-year-old woman who presented with melena due to ischemic proctitis caused by a large fecalith. On computed tomography, the fecalith showed a unique multilayered calcification sign. We successfully dismantled and removed the fecalith transanally, assisted by a traction method using a balloon catheter. A review of imaging studies from 6 years ago revealed the growth of the fecalith over the previous year and provided an insight into the mechanism underlying the development of large fecaliths.

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Section: Introductionmentioning

confidence: 99%

Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith

Fukushima

Itô

Tomida

et al. 2022

Case Rep Gastroenterol

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Complicated acute appendicitis with compromised appendiceal base: A review of surgical strategies

Caballero-Alvarado,

Lau Torres,

Peralta

et al. 2023

Pol Przegl Chir

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Introduction: Acute appendicitis is one of the most frequent emergencies in hospitals around the world; it requires early surgical treatment in complicated cases. One of the challenges that the surgeon faces during appendectomy is when the base of the appendix is compromised by either a perforation or gangrene. To show the surgical strategies that have been reported, as well as the complications associated with a compromised appendicular base in a complicated acute appendicitis.Methods: A bibliographic search was carried out in the databases of Pubmed, Embase, Web of Science, and Google Scholar. The search expression (“appendiceal stump closure” OR “Closure of the appendiceal stump” OR “Management of appendiceal stump”) was used to search for articles. The inclusion criteria were observational studies (case reports, case series, or cross-sectional, case-control, or cohort studies).Discussion: Different techniques have been reported for the treatment of a compromised appendicular base. Among the most used are primary closure, partial resection of the cecum, cecostomy tube, ileocecectomy, and right hemicolectomy. The most frequent complications are surgical site infection, intra-abdominal abscess, postoperative ileus, intestinal obstruction, and others.Conclusions: The appendicular base, compromised by necrosis or perforation, requires adequate treatment in order to prevent dehiscence of the appendicular stump sutures and fecal peritonitis. A number of surgical options have been reported

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Appendicular and Caecal Fecalith causing Perforation: A Case Report

Cited by 2 publications

References 8 publications

Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith

Like a Rolling Stone: Year-Over-Year Growth of a Rectal Fecalith

Complicated acute appendicitis with compromised appendiceal base: A review of surgical strategies

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