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Stump appendicitis: a myth that can become reality
Atef Mejri1, Khaoula Arfaoui1, Badreddine Aloui1
1Service de Chirurgie Viscérale et Digestive, Hôpital Régional de Jendouba, Jendouba, Tunisie.
Abstract:
Stump appendicitis is a rare etiology of acute lower right quadrant abdominal pain often forgotten in the emergency room (ER). The Mac Burney scar or a previous laparoscopic appendectomy always rule out the eventuality of appendicitis and mislead management. Advanced imaging tools are more than compulsory to help correct the diagnosis. Computed tomography (CT) scan is the option of choice that may be replaced if unavailable by simple ultrasound examination. The treatment is mainly surgical. We report the case of a stump appendicitis occurring 12 years after laparoscopic appendectomy in an 18-year-old girl. The diagnosis was based on consistent clinical signs and conclusive radiological data. A successful completion appendectomy was performed with good outcome.
Insights
Stump appendicitis, a rare cause of abdominal pain after appendectomy, can be diagnosed with advanced imaging like CT scans. Surgical intervention is the primary treatment for this condition.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Stump appendicitis is a rare complication following appendectomy.
- It often presents as acute lower right quadrant abdominal pain, mimicking other conditions.
- Previous surgical scars can mislead emergency room diagnoses.
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