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Case Reports in Surgery
Volume 2015, Article ID 832434, 3 pages
Case Report

A Four-Year Hospital Journey for a Lost and Migrating Appendicolith

Department of Surgery, Cantonal Hospital Graubünden, Loëstrasse 170, 7000 Chur, Switzerland

Received 1 July 2015; Accepted 26 July 2015

Academic Editor: Fernando Turégano

Copyright © 2015 Daniel Schraffl et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a rare case of recurrent abscess formation, including being at a retroperitoneal site, due to a lost and migrating appendicolith. Over a four-year period and following an episode of perforated appendicitis, an otherwise healthy young man underwent two operations for abscess formation with eventual stone removal. Appendicoliths can pose a challenge during the diagnostic and therapeutic journey, and adequate attempts at removal need to be made to prevent avoidable complications. In patients suffering from recurrent flank pain and abscesses after appendectomy, the possibility of a lost or overlooked appendicolith should be considered.