A 32-year-old male patient presented to the emergency department with colicky peri-umbilical abdominal pain and nausea for two days. On examination, there was generalized lower abdominal tenderness with no fever. A computed tomography scan of the abdomen and pelvis revealed signs of acute appendicitis. Upon further questioning, the patient gave a history of appendectomy that took place eight years ago. Although rare, stump appendicitis can occur. A radiologist should always consider stump appendicitis in the differential diagnosis of right lower quadrant pain.
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