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Updated: Mar 13, 2026

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Stump appendicitis 5 years after laparoscopic appendicectomy.

Andrew Phillip Maurice1, Hany Ibrahim2, Robert Franz2

  • 1The Prince Charles Hospital, Brisbane, Queensland, Australia Department of Surgery, University of Queensland Faculty of Medicine and Biomedical Sciences, Brisbane, Queensland, Australia.

BMJ Case Reports
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Summary
This summary is machine-generated.

Stump appendicitis can occur years after an appendicectomy. This case highlights the importance of proper stump management to prevent recurrent appendicitis, even after prior surgery.

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicitis is a common surgical emergency.
  • Recurrent appendicitis after appendicectomy is rare but possible.
  • Stump appendicitis is a rare complication following appendicectomy.

Observation:

  • A 31-year-old male presented with symptoms of appendicitis 5 years post-appendicectomy.
  • CT scan revealed a caecal phlegmon at the appendiceal stump.
  • Laparoscopy identified a 2cm inflamed appendiceal stump.

Findings:

  • Histological examination confirmed acute inflammation of the appendiceal stump.
  • A distal caecectomy was performed for treatment.
  • The patient recovered without complications.

Implications:

  • Proper identification and ligation of the appendiceal stump during initial surgery are crucial.
  • Stump appendicitis requires careful diagnosis and management.
  • Optimal treatment strategies for stump appendicitis warrant further investigation.