Stump Appendicitis Research Articles

Stump appendicitis is a rare delayed complication of appendectomy: A case report

Stump appendicitis is an acute inflammation of the residual appendix and one of the rare complications after appendectomy. Paying attention to the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy can prevent the delay of diagnosis and treatment. In patients with stump appendicitis, CT scan not only assists in making an accurate preoperative diagnosis but also excludes other etiologies. We report a 47-year old man with preoperatively diagnosed stump appendicitis by CT, who underwent an open appendectomy 20 years ago.

A Rare Cause Of Acute Abdomen: Stump Appendicitis

We report a stump appendicitis case of a 18-years-old man two mounts after laparoscopic appendectomy diagnosed by CT scan and succesfully treated by laparoscopically. Although the signs and symptoms do not differ from acute appendicitis, the diagnosis is often not considered because of the past surgical history. This clinical condition should considered in differential diagnosis of acute abdominal pain and surgery should not be delayed.

Stump Appendicitis in a Patient with Prior Appendectomy

Stump Appendicitis in a Patient with Prior Appendectomy

Acute appendicitis of the appendiceal stump

We report a case of a 27-year-old man, status post open appendectomy as an infant, in whom the diagnosis of acute appendicitis of the appendiceal stump was made by computed tomography (CT). A coronal reformatted CT image demonstrated both the inflamed appendix and a normal terminal ileum. Although rare, stump appendicitis may present with signs and symptoms typical of acute appendicitis in patients status post appendectomy and should be considered in the differential diagnosis.

Appendicitis after appendicectomy

Appendicitis after appendicectomy usually results from inflammation of an incompletely removed proximal portion of the appendix—stump appendicitis. We present a less common, distal, variant.

Stump appendicitis and generalized peritonitis due to incomplete appendectomy

Stump appendicitis is a rare clinical situation when there is incomplete appendectomy. A wide spectrum of diseases in the differential diagnosis of right lower quadrant pain of the abdomen and presence of appendectomy operation in a patient's history delay the diagnosis. We report such a case of perforated stump appendicitis and generalized peritonitis occurring eight months after appendectomy.

Stump Appendicitis

There has been a recent increase in interest in stump appendicitis with the rapid development of laparoscopic appendectomy. The objective of this study is to determine the frequency, management, and prevention of stump appendicitis in a retrospective review of 2185 cases of appendectomy and right colectomy at the Massachusetts General Hospital from 1960 to 1998. Three patients with stump appendicitis were identified. Patients presented with epigastric or periumbilical pain that radiated to the right lower quadrant. All had focal abdominal signs and a mild to moderate leukocytosis, and all underwent right colectomy. Pathology noted appendiceal stumps 5 mm deep. Two additional patients with chronic abdominal pain had cecal filling defects on barium enema. Endoscopically, these appendiceal stumps were 7 mm deep with impacted fecaliths and pathologic changes consistent with early inflammation. The stumps were resected by snare electrocautery. Stump appendicitis is a very rare entity. Its incidence may be minimized with accurate visualization of the appendiceal base and creation of an appendiceal stump less than 3 mm in depth. There is no correlation between simple ligation or inversion of the stump and stump appendicitis. There should not be a sudden increase in the incidence of this entity if laparoscopic appendectomy is performed properly.

Acute Edematous Stump Appendicitis Diagnosed Preoperatively on Sonography

Acute Edematous Stump Appendicitis Diagnosed Preoperatively on Sonography

Abdominal pain secondary to stump appendicitis in a child

We report a case of an 11-year-old male who presented with abdominal pain and vomiting. The patient had a notable past medical history of having had an appendectomy at our institution 1 year previously. Because of progressive clinical signs of peritonitis, an exploratory laparotomy was performed and the patient was found to have stump appendicitis. The entity of stump appendicitis is always possible when evaluating patients with abdominal pain who have a history of appendectomy.

Stump appendicitis diagnosed preoperatively by computed tomography

Stump appendicitis diagnosed preoperatively by computed tomography