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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
Abstract:
A case of stump appendicitis in a 41-year-old man is presented. Initial appendicectomy for suppurative appendicitis had been performed 14 months earlier. An ultrasound scan suggested the diagnosis of stump appendicitis despite the hindsight of previous appendicectomy. A literature review on the subject is provided. Stump appendicitis should be considered in the differential diagnosis of recurrent lower abdominal symptoms any time following initial appendicectomy. Knowledge of a difficult approach at initial surgery may raise the level of suspicion.
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