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Stump appendicitis: an uncompleted surgery, a rare but important entity with potential problems.
J A A Awe1, A M Soliman, R W Gourdie
1Northern Area Armed Forces Hospital, King Khalid Military City, Hafr Al-Batin 31991, Saudi Arabia.
Case Reports in Surgery
|May 22, 2013
Summary
Stump appendicitis, a complication of appendectomy, occurs when the remaining appendix stump becomes obstructed and inflamed. Early recognition is crucial to prevent serious complications and ensure timely treatment.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Appendicectomy is a common surgical procedure globally.
- A residual appendiceal stump after appendicectomy can lead to stump appendicitis.
- Stump appendicitis is often overlooked in patients with right lower quadrant pain and a history of appendectomy.
Purpose of the Study:
- To highlight stump appendicitis as a recognized but often missed diagnosis.
- To emphasize the importance of considering stump appendicitis in patients with recurrent symptoms post-appendectomy.
- To present a case illustrating the diagnostic and treatment challenges of stump appendicitis.
Main Methods:
- Case report of a 25-year-old female presenting with symptoms suggestive of stump appendicitis.
- Clinical evaluation, imaging studies, and exploratory laparotomy were performed.
- Histopathological examination of the resected appendiceal stump.
Main Results:
- The patient presented with fever, right lower quadrant pain, and vomiting 4.5 months post-laparoscopic appendicectomy.
- Exploratory laparotomy revealed an inflammatory mass with abscess at the right iliac fossa.
- Recurrent appendicitis of the appendiceal stump was confirmed.
Conclusions:
- Stump appendicitis is a significant clinical entity that requires prompt diagnosis and management.
- Delayed diagnosis of stump appendicitis can lead to severe morbidity.
- Awareness and consideration of stump appendicitis in the differential diagnosis are essential for effective surgical outcomes.
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