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Stump appendicitis. A diagnostic dilemma
A K Al-Dabbagh1, N B Thomas, N Haboubi
1Trafford General Hospital, Manchester, UK. aldabbaghakr@hotmail.com
Techniques in Coloproctology
|June 12, 2008
Summary
Stump appendicitis, inflammation of the remaining appendix after surgery, can occur months later. Consider this diagnosis for recurrent abdominal pain post-appendicectomy, especially if the initial surgery was difficult.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Appendicectomy is a common surgical procedure.
- Recurrent abdominal pain can occur after appendicectomy.
Observation:
- A 41-year-old male presented with symptoms suggestive of stump appendicitis 14 months after an initial appendicectomy for suppurative appendicitis.
- Ultrasound imaging aided in diagnosing stump appendicitis, even with the knowledge of prior surgery.
Findings:
- Stump appendicitis is a potential complication following appendicectomy.
- A history of a difficult initial appendicectomy may increase suspicion for stump appendicitis.
Implications:
- Stump appendicitis should be included in the differential diagnosis for patients with recurrent lower abdominal symptoms after appendicectomy.
- Awareness of this condition is crucial for timely diagnosis and management.
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