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Related Concept Videos

Appendicitis-I: Introduction01:22

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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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Types of Reports II: Incident or Occurrence Report01:21

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
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Types of Reports III: Telephone and Verbal Reports01:26

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Recurrent Appendicitis Caused by a Retained Appendiceal Tip: A Case Report.

Timothy J Boardman1, Nicholas J Musisca1

  • 1Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

The Journal of Emergency Medicine
|June 9, 2019
PubMed
Summary

Recurrent appendicitis can occur after appendectomy due to a retained appendiceal tip, presenting as right lower quadrant pain. Prompt diagnosis and surgical removal of the fragment are crucial to prevent complications.

Keywords:
abdominal infectionappendiceal tipappendicitisrecurrentremnantsurgery

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Area of Science:

  • Surgical case report detailing a rare cause of recurrent appendicitis.

Background:

  • Acute appendicitis is a common surgical emergency treated with appendectomy.
  • Recurrent appendicitis, often from stump inflammation, is rare.
  • Inflammation of a retained appendiceal tip is an uncommon cause of recurrent appendicitis.

Observation:

  • A 50-year-old male presented with right lower quadrant pain one year after laparoscopic appendectomy.
  • Computed tomography revealed a retained appendiceal tip as the cause of recurrent appendicitis.

Findings:

  • The patient underwent successful laparoscopic removal of the retained appendiceal fragment.
  • Retained tip appendicitis presents similarly to primary appendicitis, posing a diagnostic challenge.

Implications:

  • Emergency physicians should consider retained tip appendicitis in post-appendectomy patients with abdominal pain.
  • Missed diagnosis can lead to severe complications like perforation and sepsis.
  • This entity requires differentiation from stump appendicitis.