Skip to main content
SpringerLink
Log in

Empyema Due to Thoracic Migrating Appendicolith

  • Case Report
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Background

Retained appendicolith following appendicectomy, and can cause recurrent abscess in the abdomen and retroperitoneum.

Case characteristics

11-yr-old boy who presented with subpulmonic abscess and pneumonia following appendicectomy for perforated appendicitis.

Observations

Thoracotomy revealed a thick walled subpulmonic abscess surrounding an appendicolith along with a rent in the posterolateral aspect of the diaphragm.

Message

In children presenting with pus collections and a history of recent appendicectomy, the possibility of a migrating appendicolith should be considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Schraffl D, Frima H, Villiger P. A four-year hospital journey for a lost and migrating appendicolith. Case Rep Surg. 2015; doi:10.1155/2015/832434.

    Google Scholar 

  2. Singh M, Kadian YS, Rattan KN, Jangra B. Complicated appendicitis: Analysis of risk factors in children. Afr J Paediatr Surg. 2014;11:109–13.

    Article  PubMed  Google Scholar 

  3. Garg PK, Jain BK, Rathi V, Mohanty D, Vaibhaw K. Giant appendicolith. Indian J Gastroenterol. 2011;30:243.

    Article  PubMed  Google Scholar 

  4. Ajitha MB, Yethadka R, Sharath Kumar KL. Dropped appendicolith: Complications and management. Int J Biomed Res. 2015;6:65–70.

    Article  Google Scholar 

  5. Kim N, Reed WP, Abbas MA, Katz DS. CT Identification of Abscesses after dropped appendicoliths During Laparoscopic Appendectomy. Am J Roentgenol. 2004;182:1203–5.

    Article  Google Scholar 

  6. Lambo A, Nchimi A, Khamis J, Khuc T. Retroperitoneal abscess from dropped appendicolith complicating laparoscopic appendectomy. Eur J Pediatr Surg. 2007;17:139–41.

    Article  PubMed  CAS  Google Scholar 

  7. Betancourt SL, Palacio D, Bisset GS. The ‘wandering appendicolith’. Pediatr Radiol. 2015~45:10914.

    Google Scholar 

  8. Aiken JJ, Oldham KT. Acute Appendicitis. In: Kliegman RM, Stanton BF, St. Gema JW, Schor NF, Behrman RE, editors. Nelson Textbook of Pediatrics, Philadelphia: WB Saunders Co, 20th ed. 2011. p.1889-93.

  9. Lossef SV. CT-guided Kopans hookwire placement for preoperative localization of an appendicolith. Am J Roentgenol. 2005;185:81–3.

    Article  Google Scholar 

  10. Buckley O, Geoghegan T, Ridgeway P, Colhoun E, Snow A, Torreggiani WC. The usefulness of CT guided drainage of abscesses caused by retained appendicoliths. Eur J Radiol. 2006;60:80–3.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India

    Lakshmi Sundararajan & K. Prabhu

  2. Department of Paediatrics, CHILDS Trust Medical Research Foundation, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India

    Venkateswari Ramesh & Janani Sankar

  3. Department of Pediatric Surgery, Kanchi Kamakoti CHILDS Trust Hospital, 12-A Nageswara Road, Nungambakkam, Chennai, 600 034, India

    Lakshmi Sundararajan

Authors
  1. Lakshmi Sundararajan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Prabhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Venkateswari Ramesh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Janani Sankar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lakshmi Sundararajan.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sundararajan, L., Prabhu, K., Ramesh, V. et al. Empyema Due to Thoracic Migrating Appendicolith. Indian Pediatr 55, 603–604 (2018). https://doi.org/10.1007/s13312-018-1306-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-018-1306-4

Keywords

Search

Navigation