Ma TT, Lyu HR. Post-endoscopic retrograde appendicitis therapy stent impaction leading to exacerbation of appendicitis: A case report. World J Clin Cases 2025; 13(25): 106587 [DOI: 10.12998/wjcc.v13.i25.106587]
Corresponding Author of This Article
Hao-Run Lyu, MD, Department of Emergency Surgery, Peking University People’s Hospital, No. 11th Xizhimen South Street, Beijing 100044, China. lvhaorun5@sina.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Post-endoscopic retrograde appendicitis therapy stent impaction leading to exacerbation of appendicitis: A case report
Tan-Tu Ma, Hao-Run Lyu
Tan-Tu Ma, Department of Hepatobiliary Surgery, Peking University People's Hospital, Peking University, Beijing 100044, China
Hao-Run Lyu, Department of Emergency Surgery, Peking University People’s Hospital, Beijing 100044, China
Author contributions: Ma TT contributed to manuscript writing and editing; Lyu HR contributed to conceptualization and supervision and data collection; all authors have read and approved the final manuscript.
Supported by National Key R and D Program of China-Key Special Project on Diagnostic and Therapeutic Equipment and Biomedical Materials, No. 2023YFC2412005.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hao-Run Lyu, MD, Department of Emergency Surgery, Peking University People’s Hospital, No. 11th Xizhimen South Street, Beijing 100044, China. lvhaorun5@sina.com
Received: March 13, 2025 Revised: April 6, 2025 Accepted: May 26, 2025 Published online: September 6, 2025 Processing time: 116 Days and 17.4 Hours
Core Tip
Core Tip: We report the case of appendicitis where post-endoscopic retrograde appendicitis therapy (ERAT) stent impaction worsened inflammation. Ultimately, the novel solo single-incision laparoscopic appendectomy (SSLA) technique successfully removed the appendix. As ERAT is still in its early stages, inadequate technical proficiency, postoperative complications and improper postoperative management can exacerbate the patient's condition and increase surgical difficulty. This case prompts further reflection on the choice between ERAT and SSLA, encouraging the refinement of both techniques. This report emphasizes the importance of preoperative assessment, stent placement, and postoperative management for ERAT, while confirming SSLA's advantages in addressing ERAT complications and healing appendicitis.
