Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	121212
DOI	10.4253/wjge.121212
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Stump appendicolith removal using a pancreaticobiliary scope in an elderly patient: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Wei Li, Mei Xiao, Dan-Dan Wu, Kai-Guang Zhang and Chao Ye
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China No. 82300707
Corresponding Author	Chao Ye, Academic Fellow, PhD, Vice Director, Department of Digestive Disease, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230001, Anhui Province, China. yechao850606@ustc.edu.cn
Key Words	Stump appendicitis; Appendicolith; Pancreaticobiliary scope; Elderly patient; Case report
Core Tip	In a patient aged 89 years, we report a rare occurrence of stump appendicitis with appendicolith incarceration 60 years after appendectomy. Subtle symptoms and insignificant imaging made diagnosis a challenge. Colonoscopy showed the affected fecalith that was removed successfully with a pancreaticobiliary scope. Therefore, surgery was avoided. This case highlights the necessity to take into consideration the stump appendicolith in elderly patients with chronic abdominal pain and previous appendectomy. In the event of failure of conventional imaging, colonoscopic evaluation of the appendiceal orifice is necessary. The pancreaticobiliary scope is a safe, minimally invasive option to the management of stump appendicoliths in high-risk patients.
Citation	Li W, Xiao M, Wu DD, Zhang KG, Ye C. Stump appendicolith removal using a pancreaticobiliary scope in an elderly patient: A case report. World J Gastrointest Endosc 2026; In press DOI: https://doi.org/10.4253/wjge.121212
PDF	121212-in-press.pdf

Received	2026-03-21 13:20
Peer-Review Started	2026-03-21 13:22
First Decision by Editorial Office Director	2026-04-08 08:42
Return for Revision	2026-04-08 08:42
Revised	2026-05-03 17:25
Publication Fee Transferred
Second Decision by Editor	2026-06-23 02:19
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-23 05:59
Articles in Press	2026-06-23 05:59
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5190 (online)
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