Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928483 | PMC |
| http://dx.doi.org/10.5946/ce.2014.47.1.112 | DOI Listing |
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Article Synopsis
- * A case study of a 58-year-old man revealed an appendiceal stump abscess developed eight months post-surgery, confirmed by a CT scan, which led to emergency laparoscopic surgery where complications like perforation were noted.
- * The discussion highlights the importance of imaging for diagnosis and suggests that stump appendicitis, while uncommon, requires careful monitoring and intervention post-appendectomy to prevent serious complications; surgical removal of the stump is the recommended treatment but its best approach remains uncertain.
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