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Stump appendicitis: a rare but important entity.

G Roche-Nagle1, C Gallagher, C Kilgallen

  • 1Department of Surgery, Sligo General Hospital, Sligo, Ireland. grnagle@rcsi.ie

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|March 26, 2005
PubMed
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Recurrent appendicitis can occur in the appendiceal stump years after an appendicectomy. This rare condition, often difficult to diagnose, presents as right lower quadrant pain.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicitis is a common surgical emergency.
  • Appendicectomy is the standard treatment for appendicitis.
  • Recurrent appendicitis in the appendiceal stump is a rare complication.

Observation:

  • A 35-year-old male presented with right lower quadrant pain.
  • The patient had a history of appendicectomy 14 years prior.
  • Exploratory laparotomy revealed recurrent appendicitis with perforation in the appendiceal stump.

Findings:

  • Inflammation of the appendiceal stump (stump appendicitis) can occur despite previous appendicectomy.
  • Diagnosis can be challenging due to a broad differential diagnosis for right lower quadrant pain and a history of prior surgery.
  • Prompt recognition is crucial to prevent complications.

Related Experiment Videos

Implications:

  • Physicians should consider stump appendicitis in patients with a history of appendicectomy presenting with right lower quadrant pain.
  • Early diagnosis and treatment of stump appendicitis can reduce patient morbidity.
  • This case highlights the importance of considering rare complications of common surgical procedures.