Late caecal fistula after laparoscopic appendectomy managed mini-invasively – case report

• Main Authors: Andrzej Kwiatkowski, Krzysztof Paśnik, Piotr Trojanowski
• Format: Article
• Language: English
• Published: Termedia Publishing House 2011-12-01
• Series: Videosurgery and Other Miniinvasive Techniques
• Subjects: laparoscopic appendectomy; complications; caecal fistula
• Online Access: http://www.termedia.pl/Late-caecal-fistula-after-laparoscopic-appendectomy-managed-mini-invasively-case-report,42,17856,1,0.html

Laparoscopic appendectomy is being performed increasingly, worldwide. The laparoscopic approach is associated witha lower complication rate and a shorter period of disability but some major complications still occur. We present a caseof a 22-year-old woman who underwent laparoscopic appendectomy for acute appendicitis. In 3 weeks time after surgery,after physical activity the patient presented acute abdomen. Exploratory laparoscopy revealed peritonitis causedby caecal fistula. Laparoscopic lavage and drainage of the peritoneal cavity with formal caecostomy was performed.The postoperative course was uneventful. The stoma was closed in 6 months’ time without other complications. Inour opinion laparoscopy is proven to be a safe and good option for diagnostics and treatment of some complicationsof appendectomy.