Perihepatic abscesses caused by dropped appendicoliths in a child

Suprit C. Singh, BS; Fabiola Weber, MD; Arthur B. Meyers, MD; Cynthia Reyes, MD; Monica Epelman, MD

Radiology Case Reports (Jan 2019)

Perihepatic abscesses caused by dropped appendicoliths in a child

Suprit C. Singh, BS,
Fabiola Weber, MD,
Arthur B. Meyers, MD,
Cynthia Reyes, MD,
Monica Epelman, MD

Affiliations

Suprit C. Singh, BS: University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA
Fabiola Weber, MD: University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA; Department of Medical Imaging/Radiology, Nemours Children's Health System/Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827, USA
Arthur B. Meyers, MD: University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA; Department of Medical Imaging/Radiology, Nemours Children's Health System/Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827, USA
Cynthia Reyes, MD: Department of Pediatric Surgery, Nemours Children's Health System/Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827, USA
Monica Epelman, MD: University of Central Florida, College of Medicine, 6850 Lake Nona Blvd., Orlando, FL 32827, USA; Department of Medical Imaging/Radiology, Nemours Children's Health System/Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL 32827, USA; Corresponding author.

Journal volume & issue: Vol. 14, no. 1
pp. 1 – 5

Abstract

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A dropped appendicolith is a well-known complication of laparoscopic appendectomy that may occur because of stone expulsion from the appendix, before or during surgery, and typically manifests as a focal, subcentimeter area of high attenuation with or without associated abscess. Dropped appendicoliths may act as niduses for infection and may result in the future development of abscess formation. We report the case of a 10-year-old pediatric patient who developed 2 perihepatic abscesses caused by 2 appendicoliths that were inadvertently dropped during laparoscopic surgery. Keywords: Appendicitis, CT, Dropped appendicolith, Abscess

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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