Abstract

Abstract Background: Abscess formation because of retained fecalith is a recognized complication of appendectomy. These abscesses may present at a time remote from the appendectomy. No peri-hepatic abscess attributable to a retained fecalith has been reported more than four years following appendectomy. Methods: A 43-year-old male presented with a subhepatic abscess 9 y following appendectomy. A retained appendicolith was recognized immediately following appendectomy, but was not removed. At his return 9 y after the initial operation, a trial of antibiotic therapy was unsuccessful and he underwent an operation to drain the abscess and retrieve the fecalith. We review the literature pertaining to management of a retained fecalith following appendectomy. Results: Successful management of a subhepatic abscess attributable to a retained fecalith 9 y following appendectomy. Conclusions: Abscesses attributable to a retained fecalith may present many years following appendectomy. In this setting, antibiotic ther...

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