Abstract
IntroductionStump appendicitis is a rare complication of appendectomy due to recurrent inflammation of the residual appendix. The diagnosis is often delayed due to low index of suspicious, which may result in serious complications.Case presentationWe describe a case of stump appendicitis occurred 12 months after appendectomy in 25 years old man. Despite past medical history of appendectomy the diagnosis was made by means of ultrasound scan and an high degree of clinical suspicion.ConclusionsStump appendicitis is a rare but important complication of appendectomy, often misdiagnosed. Prompt recognition is important to avoid serious complications. This pathologic entity should always be kept in mind on case of right lower quadrant pain.
Highlights
Stump appendicitis is a rare complication of appendectomy due to recurrent inflammation of the residual appendix
Case presentation: We describe a case of stump appendicitis occurred 12 months after appendectomy in 25 years old man
Stump appendicitis (SA) is a rare complication of appendectomy caused by infection of the residual portion of the appendix left in place
Summary
Stump appendicitis (SA) is a rare complication of appendectomy caused by infection of the residual portion of the appendix left in place. The clinical presentation of SA does not differ from that of acute appendicitis Unusual, it must be included in the differential diagnosis of right lower quadrant pain in patients who already underwent appendectomy [1]. We report a case of stump appendicitis in a 25-year old man, who underwent an open appendectomy one year before the admission to our Institution. He did not complain any vomiting, urinary tract symptoms or change in bowel habits His past medical history showed an open appendectomy operation performed in another hospital one year before the admission to our Institution. In the day an abdominal ultrasonography was repeated revealing that, despite the past medical history of appendectomy, the oval formation arising from the base of the cecum could have been a residual appendix and the hyperechoic formation an appendicolith (Figure 2).
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