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A child with appendicitis after appendectomy.

Muhammad Waseem1, Gerard Devas

  • 1Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, New York 10451, USA.

The Journal of Emergency Medicine
|October 20, 2007
PubMed
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Stump appendicitis is a rare condition that can occur after an appendectomy. Physicians should consider stump appendicitis in children with right lower quadrant pain, even after prior appendectomies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Appendicitis is common in children, often treated with appendectomy.
  • Stump appendicitis, inflammation of the remaining appendix after surgery, is a rare but recognized complication.

Observation:

  • A case of stump appendicitis is presented in a child two years post-laparoscopic appendectomy.
  • The patient presented with right lower quadrant pain, a symptom that can be misleading after a previous appendectomy.

Findings:

  • The diagnosis of stump appendicitis can be delayed due to the assumption that appendicitis cannot occur after an appendectomy.
  • Prompt consideration of stump appendicitis is crucial for timely diagnosis and management.

Implications:

  • Physicians must maintain a high index of suspicion for stump appendicitis in children with right lower quadrant pain, regardless of appendectomy history.

Related Experiment Videos

  • This case highlights the importance of considering stump appendicitis in the differential diagnosis to avoid diagnostic delays.