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Related Concept Videos

Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

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[Stump appendicitis after previous appendicectomy].

E Bosma1, J A Roukema, M H J Verhofstad

  • 1St. Elisabeth Ziekenhuis, afd. Heelkunde, Postbus 90.151, 5000 LC Tilburg. e.bosma@elisabeth.nl

Nederlands Tijdschrift Voor Geneeskunde
|June 17, 2008
PubMed
Summary
This summary is machine-generated.

Stump appendicitis, inflammation of a residual appendiceal stump after appendicectomy, is a rare cause of abdominal pain. Early diagnosis and treatment are crucial to prevent complications like perforation and sepsis.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendicectomy is a common surgical procedure.
  • Incomplete appendicectomy can lead to stump appendicitis.

Observation:

  • Two patients presented with recurrent right lower abdominal pain months after appendicectomy.
  • Physical examination revealed localized or generalized peritonitis.
  • Laparotomy identified perforated or inflamed appendiceal stumps.

Findings:

  • Successful surgical removal of the inflamed or perforated appendiceal stump resolved symptoms.
  • Stump appendicitis is a rare but serious complication of appendicectomy.

Implications:

  • Clinicians must maintain a high index of suspicion for stump appendicitis in patients with prior appendicectomy and abdominal pain.
  • Prompt diagnosis and surgical intervention are essential to prevent severe morbidity, including perforation and intra-abdominal sepsis.