Appendicular and Caecal Fecalith causing Perforation: A Case Report

Authors

  • 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

DOI:

https://doi.org/10.31729/jnma.4711

Keywords:

appendicitis; case report; cecum; fecalith.

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.

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Published

2020-04-30

How to Cite

Rojan Adhikari, Prashant Simkhada, mandal, D., Ashok Kunwar, & Saroj Prasad Dhital. (2020). Appendicular and Caecal Fecalith causing Perforation: A Case Report . Journal of Nepal Medical Association, 58(224). https://doi.org/10.31729/jnma.4711

Issue

Vol. 58 No. 224 (2020): JNMA: Published Monthly

Section

Case Reports

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