# Successful Endoscopic Retrograde Appendicitis Therapy Following a Recent ST-Elevation Myocardial Infarction

## TL;DR

A 59-year-old man with a recent heart attack successfully had his appendicitis treated with a new endoscopic method instead of surgery.

## Contribution

Demonstrates successful use of endoscopic retrograde appendicitis therapy in a high-risk cardiac patient.

## Key findings

- Endoscopic retrograde appendicitis therapy was effective in treating appendicitis in a post-heart attack patient.
- The patient avoided the risks of surgery due to his recent cardiac event.
- This case highlights a potential alternative to traditional appendectomy in high-risk individuals.

## Abstract

Acute appendicitis is one of the most common abdominal surgical emergencies. A laparoscopic or open appendectomy has traditionally been the gold standard. Antibiotic therapy has recently been found to be noninferior. The treatment of acute uncomplicated appendicitis remains a challenge, especially in the presence of an appendicolith. We present a case of a 59-year-old man with recent ST-elevation myocardial infarction who underwent successful endoscopic retrograde appendicitis therapy.