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An Unusual Approach to Diagnosing Stump Appendicitis Using Colonoscopy
Bhargava K Nelluri1, Anupam K Gupta2
1Internal Medicine, SSM (Sisters of Saint Mary) Health Good Samaritan Hospital, Mount Vernon, USA.
Cureus
|January 21, 2025
Summary
Stump appendicitis, a cause of abdominal pain after appendix removal, can now be diagnosed using colonoscopy. This method offers a new diagnostic approach for this rare post-surgical complication.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Stump appendicitis is a recognized complication following appendectomy.
- It typically presents as right lower quadrant abdominal pain in patients with a history of appendix removal.
Observation:
- Computed tomography (CT) of the abdomen and pelvis is the usual diagnostic tool.
- This case highlights an alternative diagnostic pathway.
Findings:
- Stump appendicitis was successfully diagnosed using colonoscopy.
- The diagnosis was subsequently confirmed through surgical intervention.
Implications:
- Colonoscopy may serve as a valuable diagnostic tool for stump appendicitis.
- This approach could offer an alternative to imaging in select cases.
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