Publication: Appendicular and Caecal Fecalith causing Perforation: A Case Report
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 255 - 257
Publisher
Nepal Medical Association
Abstract
Abstract
Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Though appendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths are amenable to conservative management with laxatives and enemas but surgical management prevents recurrence. We present a case of 27 years old male who was diagnosed with acute appendicitis with peritonitis. He was intraoperatively diagnosed as gangrenous and perforated retrocaecal appendix with multiple small fecaliths and a large fecalith on cecum with perforation. Appendectomy and primary repair of caecal perforation done. Histological examination of perforated margin confirmed as an inflammatory lesion.
Keywords: appendicitis; case report; cecum; fecalith.
Description
Rojan Adhikari
Department of Surgery, Kathmandu Model Hospital, Adwait Marg, Kathmandu, Nepal
Prashant Simkhada
Kanti Childrens Hospital, Maharajgunj, Kathmandu, Nepal
Deependra mandal
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Ashok Kunwar
Department of Surgery, Kathmandu Model Hospital, Adwait Marg, Kathmandu, Nepal
Saroj Prasad Dhital
Department of Surgery, Kathmandu Model Hospital, Adwait Marg, Kathmandu, Nepal
Keywords
appendicitis, case report, cecum, fecalith
Identifier
https://doi.org/10.31729/jnma.4711