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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

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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...
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Related Experiment Video

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Stump appendicitis. A case report.

Girolamo Geraci1, Giovanni Di Carlo1, Bianca Cudia1

  • 1School of Medicine, University Teaching Hospital "Paolo Giaccone" of Palermo, Section of General and Thoracic Surgery, Service of Diagnostic and Operative Digestive Endoscopy, Italy.

International Journal of Surgery Case Reports
|January 20, 2016
PubMed
Summary
This summary is machine-generated.

Stump appendicitis (SA) is a rare cause of right lower quadrant pain in patients who have had a prior appendectomy. This condition requires consideration in differential diagnoses to ensure timely and accurate treatment.

Keywords:
Computed tomographyEndoscopic featureStump appendicitis

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Stump appendicitis (SA) is often overlooked in patients with a history of appendectomy presenting with right lower quadrant pain.
  • Delayed diagnosis of SA can result from prioritizing more common etiologies.

Purpose of the Study:

  • To highlight stump appendicitis as a critical differential diagnosis for acute right lower abdominal pain in appendectomized patients.
  • To emphasize the importance of considering SA to avoid diagnostic delays.

Main Methods:

  • A case presentation of a 54-year-old female appendectomized patient with recurrent right lower quadrant pain.
  • Diagnostic workup included colonoscopy revealing a fecalith obstructing the appendiceal orifice and CT scan confirming SA.
  • Treatment involved a 30-day course of metronidazole and mesalazine, followed by surgical stump appendectomy.

Main Results:

  • The patient's symptoms resolved after medical therapy and subsequent surgical removal of the 24mm appendiceal stump.
  • Histopathological examination confirmed stump appendicitis.

Conclusions:

  • Stump appendicitis should be included in the differential diagnosis for acute right lower abdominal pain, even in patients with a prior appendectomy.
  • Prompt recognition and management of SA are crucial for effective patient outcomes.