Re-assessing the role of the fecalith in acute appendicitis in adults: case report, case series and literature review
Autor: | Bradford T. Baker, Nguyen Tran, Valerie Sue Emuakhagbon, Sergio Huerta |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Perforated Appendicitis
medicine.medical_specialty AcademicSubjects/MED00910 business.industry General surgery medicine.medical_treatment Appendix rupture Lumen (anatomy) 030230 surgery Perforated appendix medicine.disease Appendicitis Appendix 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Laparotomy Acute appendicitis medicine Surgery Case Series business jscrep/040 |
Zdroj: | Journal of Surgical Case Reports |
ISSN: | 2042-8812 |
Popis: | Appendicitis in adults is thought to occur because of luminal obstruction from a fecalith. We present a unique case of a patient who had her entire appendiceal lumen occupied by a fecalith (5.0 cm long) but had no appendicitis. We reviewed the records of 257 veterans who underwent surgical intervention at our institution for the management of acute appendicitis. Fecaliths occurred in 15.6% of patients. At laparotomy, 20.6% had a perforated appendix; pathology showed fecaliths in 20.8% of specimens. A review of the literature inclusive of 25 series showed fecaliths in 33.3% of patients with a normal appendix, 23.5% of patients with acute appendicitis and 24.9% with perforated appendicitis. These data show that appendicitis is not a common cause of fecalith obstruction in adults. |
Databáze: | OpenAIRE |
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