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Stump appendicitis in children

Xiao Bing Tang1, Ri Bin Qu, Yu Zuo Bai

  • 1Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Heping District, Shenyang, PR China.

Journal of Pediatric Surgery
|January 18, 2011
PubMed

Insights

Stump appendicitis, a rare complication after appendectomy, occurs when residual appendiceal tissue becomes inflamed. This report details three pediatric cases, highlighting the need for consideration in patients with relevant surgical history and pain.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Stump appendicitis is a rare but significant delayed complication following an incomplete appendectomy.
  • It arises from the inflammation of remaining appendiceal tissue after surgical removal.

Observation:

  • This report presents three distinct cases of stump appendicitis observed in pediatric patients.
  • Clinical presentation included right lower quadrant pain in patients with a prior appendectomy history.

Findings:

  • The cases underscore that stump appendicitis should be considered in the differential diagnosis for recurrent right lower quadrant pain post-appendectomy.
  • Diagnostic evaluation is crucial to identify residual appendiceal inflammation.

Implications:

  • Early recognition and diagnosis of stump appendicitis are vital for appropriate management and to prevent further complications in children.
  • This highlights the importance of considering stump appendicitis in pediatric patients presenting with abdominal pain after appendectomy.

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