Abdominal pain is a frequent problem encountered in the emergency department, and acute appendicitis is a well-recognized diagnosis. Laparoscopic appendectomy has become one of the most common surgical procedures in the United States. Patients with a history of appendectomy may experience recurrent right lower quadrant abdominal pain from an infrequently encountered complication that may occur when the residual appendix becomes obstructed and inflamed. We describe two cases of stump appendicitis in pediatric patients with a review of clinical and imaging findings and surgical management.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6075480 | PMC |
| http://dx.doi.org/10.5811/cpcem.2018.3.37730 | 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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