Percutaneous extraction of appendicolith an extension of endourology corridor.

Percutaneous procedure represents a novel, easy, and safe removal of retained appendicolith. This gives an advantage of less invasive treatment, shorter hospital stay, and enhanced recovery of the patients.

A retained appendicolith is one of the uncommon complications of appendicectomy as a result of failure of removal of appendicolith during surgery or when an appendicolith drops from the appendix as a result of perforation 1. Retained appendicolith can migrate to various locations and act as nidus of recurrent infection or abscess formation, which needs removal 2.

With this video, we demonstrate the expansion of the skills and principles of percutaneous nephrolithotomy in other surgical specialties. Percutaneous removal of an appendicolith was undertaken in a 55‐year‐old female patient who presented with history of appendicectomy 5 years ago and retained appendicolith. Patient initially presented with right‐sided abdominal and back pain.

Computed tomography scan confirmed retroperitoneal abscess related to the dropped appendicolith from the time of previous appendicitis and appendicectomy. With percutaneous approach following the principles of endourology used in percutaneous nephrolithotomy, the appendicolith was removed and patient was successfully treated. The percutaneous approach avoided an open surgical procedure and hence decreased the morbidity of the patient. Percutaneous procedure represents a novel, easy, and safe removal of retained appendicolith. This also gives an advantage of less invasive treatment and thus short hospital stay for the patient.

Authorship

SY: involved in video capture, editing, audio input, and manuscript preparation and submission. KS: was the main Surgeon and involved in the guidance in video capture, editing, and audio input.

Conflict of Interest

The authors have nothing to disclose.

Video S1. Percutaneous extraction of appendicolith.

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