ArticleWorld journal of emergency surgery : WJES2023
Retrospective cohort study of the impact of faecoliths on the natural history of acute appendicitis.
Article in World journal of emergency surgery : WJES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 15 citations in OpenAlex.
- Development and independent regional validation of a dynamic ultrasound appendicitis score for suspected acute appendicitis: a prospective multicenter study.Emergency radiology · 2026Article
- A novel CT-based scoring system for appendicoliths and its prognostic value in acute appendicitis: a retrospective cohort study.Emergency radiology · 2026Article
- Appendicolith detection in dual-energy CT of adult acute appendicitis: comparing portovenous phase and virtual noncontrast with true noncontrast images.Abdominal radiology (New York) · 2026Article
- Building and validating machine learning models to predict appendiceal perforation during conservative treatment of fecalith-associated appendicitis: a 20-algorithm multicenter retrospective analysis.Scientific reports · 2026Article
- Retrospective analysis of 331 acute appendicitis patients: how appendicolith and CT features aid in differentiating complicated vs. uncomplicated appendicitis.BMC gastroenterology · 2025Article
- Appendicolith in non-operative management of acute appendicitis: Implications for recurrence and future directions.World journal of clinical cases · 2025Article
- Leaving no stone unturned: Impact of appendicolith and characteristics on long-term recurrence after non-operative appendicitis.World journal of clinical cases · 2025Article
- Evaluation of computed tomography (CT) appendicitis score and laboratory parameters in acute appendicitis with and without CT-detected appendicolith.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Clinical significance of appendicoliths in elderly patients over eighty years old undergoing emergency appendectomy: A single-center retrospective study.World journal of gastrointestinal surgery · 2024Article
- MaskAppendix: Backbone-Enriched Mask R-CNN Based on Grad-CAM for Automatic Appendix Segmentation.Diagnostics (Basel, Switzerland) · 2024Article
- Hidden Appendicoliths and Their Impact on the Severity and Treatment of Acute Appendicitis.Journal of clinical medicine · 2024Article
- Management and Incidence ofJournal of clinical medicine · 2024Article
- CT of appendicoliths in adult appendicitis: clinical significance and characteristics of overlooked cases.European radiology · 2024Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite acute appendicitis is one of the most common surgical emergencies, its aetiology remains incompletely understood.
aimThis study aimed to assess the rate at which faecoliths were present in acute appendicitis treated with appendicectomy and whether their presence was associated with complicated appendicitis.
methodsAll adult patients who underwent appendicectomy for acute appendicitis in a 2 years period (January 2018 and December 2019) at a single institution were retrospectively reviewed. The presence of a faecolith was identified by at least one of three methods: pre-operative CT scan, intraoperative identification, or histopathology report. Patients were grouped according to the presence or absence of a faecolith and demographics, type of appendicitis and surgical outcomes analysed. Complicated appendicitis was defined as appendicitis with perforation, gangrene and/or periappendicular abscess formation.
resultsA total of 1035 appendicectomies were performed with acute appendicitis confirmed in 860 (83%), of which 314 (37%) were classified as complicated appendicitis. Three hundred thirty-nine (35%) of the appendicitis cases had faecoliths (complicated 165/314 cases; 53%; uncomplicated 128/546; 23%, p < 0.001). The presence of a faecolith was associated with higher complications and a subsequent longer post-operative stay.
conclusionThe rigorous methodology of this study has demonstrated a higher rate of faecolith presence in acute appendicitis than previously documented. It reinforces the association of faecoliths with a complicated disease course and the importance in prioritising emergency surgery and postoperative monitoring for complications.
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