{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:11:26Z","timestamp":1761844286401,"version":"3.40.4"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 21-year-old patient presented with a 3-day history of shortness of breath, productive cough, fatigue, fevers and night sweats, associated with right upper quadrant pain. He had an appendicectomy 3\u2005months previously. The CT images showed a right subphrenic collection, which was indenting the right lobe of the liver, with an appendicolith in the middle. He underwent laparoscopic surgery where the abscess was drained and the appendicolith was retrieved. The patient had an uncomplicated postoperative period and was discharged soon afterwards. Complications from spilled appendicoliths have been reported previously. Retained appendicoliths and gallstones can act as niduses for infection, and thus cause symptoms at a later stage. Surgical notes should include the findings of appendicoliths, and in the event where retrieval is not possible, a clear record of this must be made, and the patient along with the general practitioner need to be informed.<\/jats:p>","DOI":"10.1136\/bcr-2013-200729","type":"journal-article","created":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T10:13:28Z","timestamp":1381745608000},"page":"bcr2013200729","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Shortness of breath, fever and abdominal pain in a 21-year-old student"],"prefix":"10.1136","volume":"2013","author":[{"given":"Hugh James","family":"Whalley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dionysios-Dennis","family":"Remoundos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Webster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Anthony","family":"Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,10,14]]},"reference":[{"key":"2025042709284154000_2013.oct14_1.bcr2013200729.1","doi-asserted-by":"crossref","unstructured":"Sauerland S Jaschinski T Neugebauer EAM . Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2010;10:CD001546.","DOI":"10.1002\/14651858.CD001546.pub3"},{"key":"2025042709284154000_2013.oct14_1.bcr2013200729.2","first-page":"185","article-title":"Appendiceal calculi and fecaliths as indications for appendectomy","volume":"2013","author":"Nitecki","year":"1990","journal-title":"Surg Gynecol Obstet"},{"key":"2025042709284154000_2013.oct14_1.bcr2013200729.3","doi-asserted-by":"crossref","first-page":"e117","DOI":"10.1308\/147870811X591701","article-title":"A complication of a dropped appendicolith misdiagnosed as Crohn's disease","volume":"2013","author":"Sarkar","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"key":"2025042709284154000_2013.oct14_1.bcr2013200729.4","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1001\/archsurg.1970.01340290080018","article-title":"Very late wound infection due to retained fecalith","volume":"2013","author":"Sade","year":"1970","journal-title":"Arch Surg"},{"key":"2025042709284154000_2013.oct14_1.bcr2013200729.5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1308\/003588408X285883","article-title":"The case for standardisation of the management of gallstones spilled and not retrieved at laparoscopic cholecystectomy","volume":"2013","author":"Mullerat","year":"2008","journal-title":"Ann R Coll Surg Engl"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:28:50Z","timestamp":1745771330000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,14]]},"references-count":5,"alternative-id":["10.1136\/bcr-2013-200729"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200729","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,10,14]]}}}