The ‘wandering appendicolith’

Sonia L. Betancourt; Diana Palacio; George S. Bisset

doi:10.1007/s00247-014-3247-y

The ‘wandering appendicolith’

Sonia L. Betancourt, Diana Palacio, George S. Bisset

Research output: Contribution to journal › Review article › peer-review

12 Scopus citations

Abstract

Acute appendicitis is a common pediatric surgical emergency. Successful surgical appendectomy requires removal of the appendix and its contents. A retained appendicolith is a complication that occurs when the appendicolith is expulsed from the appendix as a result of perforation or failure of removal during surgery. An ectopic appendicolith can migrate to a variety of ectopic locations, acting as a nidus for abscess. Clinical presentation may be delayed by days, weeks or even months after surgery. We present and discuss an unusual case of empyema caused by migration of an appendicolith into the chest cavity. Management of these retained appendicoliths requires drainage of the abscess and extraction of the appendicolith.

Original language	English (US)
Pages (from-to)	1091-1094
Number of pages	4
Journal	Pediatric Radiology
Volume	45
Issue number	7
DOIs	https://doi.org/10.1007/s00247-014-3247-y
State	Published - Jul 1 2015

Keywords

Appendicitis
Appendicolith
Child
Computed tomography
Empyema
Perforation
Ultrasound

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Radiology Nuclear Medicine and imaging

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10.1007/s00247-014-3247-y

Cite this

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title = "The {\textquoteleft}wandering appendicolith{\textquoteright}",

abstract = "Acute appendicitis is a common pediatric surgical emergency. Successful surgical appendectomy requires removal of the appendix and its contents. A retained appendicolith is a complication that occurs when the appendicolith is expulsed from the appendix as a result of perforation or failure of removal during surgery. An ectopic appendicolith can migrate to a variety of ectopic locations, acting as a nidus for abscess. Clinical presentation may be delayed by days, weeks or even months after surgery. We present and discuss an unusual case of empyema caused by migration of an appendicolith into the chest cavity. Management of these retained appendicoliths requires drainage of the abscess and extraction of the appendicolith.",

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AU - Palacio, Diana

AU - Bisset, George S.

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AB - Acute appendicitis is a common pediatric surgical emergency. Successful surgical appendectomy requires removal of the appendix and its contents. A retained appendicolith is a complication that occurs when the appendicolith is expulsed from the appendix as a result of perforation or failure of removal during surgery. An ectopic appendicolith can migrate to a variety of ectopic locations, acting as a nidus for abscess. Clinical presentation may be delayed by days, weeks or even months after surgery. We present and discuss an unusual case of empyema caused by migration of an appendicolith into the chest cavity. Management of these retained appendicoliths requires drainage of the abscess and extraction of the appendicolith.

KW - Appendicitis

KW - Appendicolith

KW - Child

KW - Computed tomography

KW - Empyema

KW - Perforation

KW - Ultrasound

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JO - Pediatric Radiology

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The ‘wandering appendicolith’

Abstract

Keywords

ASJC Scopus subject areas

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