'Stumped' by stump appendicitis-a case report and literature review

Area of Science:

• Gastroenterology
• Surgical Complications
• Abdominal Surgery

Background:

• Stump appendicitis is a rare complication following appendicectomy.
• It results from incomplete removal of the appendix, leaving remnant tissue inflamed.
• Previous appendicectomy often leads to diagnostic delays.

Observation:

• This case series describes two patients presenting with stump appendicitis at a London district general hospital.
• Both patients had a history of appendicectomy, complicating initial diagnosis.
• Symptoms included right iliac fossa pain.

Findings:

• Delayed diagnosis of stump appendicitis can increase patient morbidity and mortality.
• Recognition of stump appendicitis as a differential diagnosis is crucial.
• Complete operative documentation aids in diagnosis.

Implications:

• Early identification and prompt treatment of stump appendicitis are essential.
• Clinicians should actively consider stump appendicitis in patients with prior appendicectomy and abdominal pain.
• Improved diagnostic strategies and record-keeping can enhance patient outcomes.