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Acute appendicitis of the appendiceal stump
Miriam T Aschkenasy1, Frank J Rybicki
1Department of Emergency Medicine, Boston Medical Center, Boston, MA 02118, USA.
The Journal of Emergency Medicine
|January 20, 2005
Summary
Stump appendicitis, inflammation of the remaining appendix after surgery, can mimic acute appendicitis symptoms. This rare condition requires consideration in patients with prior appendectomy.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Appendectomy is a common surgical procedure.
- Complications after appendectomy are infrequent but can occur.
Observation:
- A 27-year-old male presented with symptoms suggestive of acute appendicitis.
- The patient had a history of an infant open appendectomy.
Findings:
- Computed tomography (CT) imaging diagnosed acute appendicitis of the appendiceal stump.
- CT revealed an inflamed appendix stump and a normal terminal ileum.
Implications:
- Stump appendicitis is a rare but important diagnosis in post-appendectomy patients.
- Clinical presentation can overlap with primary acute appendicitis.
- Consider stump appendicitis in the differential diagnosis for abdominal pain in these patients.