Stump appendicitis-a rare, delayed complication of appendectomy-is most commonly managed with surgical exploration and stump appendectomy. Conservative management in the pediatric population is poorly characterized in the literature. We report a case of a 10-year-old male who was diagnosed with stump appendicitis and initially treated nonoperatively. He received intravenous antibiotics and supportive therapy while in the hospital, was discharged on a course of oral antibiotics, and remained asymptomatic for the following 9 weeks until he underwent an elective interval stump appendectomy. We also review the literature on this uncommon condition and treatment plan. Considering stump appendicitis in the differential of children with history of appendectomy is imperative. Nonoperative management of stump appendicitis may be successful and beneficial in select pediatric cases compared to the standard surgical management.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192215 | PMC |
| http://dx.doi.org/10.31486/toj.23.0098 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparative analysis of suture-based and Hem-O-lok closure techniques in laparoscopic appendectomy for uncomplicated acute appendicitis: a retrospective propensity score matching study.
Tech Coloproctol
December 2024
Department of Colorectal Cancer Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, No. 55, Section 4, Renmin Road South, Chengdu, 610041, Sichuan Province, China.
Background: The optimal method for appendix stump closure in laparoscopic appendectomy (LA) remains debated. This study aims to evaluate the impact of suture-based closure and Hem-O-lok techniques on postoperative complications following LA for uncomplicated appendicitis.
Methods: A retrospective analysis was conducted on patients with uncomplicated appendicitis treated by LA from January 2019 to December 2021.
Classic yet challenging case of stump appendicitis: a case report.
Ann Med Surg (Lond)
December 2024
Department of Internal Medicine, NAIHS, Nepal.
Introduction: Stump appendicitis is a rare complication of appendectomy in which residual appendiceal tissue becomes inflamed, mimicking acute appendicitis. This case report highlights the classic clinical presentation, diagnosis, and management of stump appendicitis.
Case Presentation: A 61-year-old male presented with abdominal pain and a past history of open appendectomy performed 4 years prior.
Advantages comparison of peritoneal drainage versus no drainage after laparoscopic appendectomy for complicated appendicitis: a meta-analysis.
BMC Gastroenterol
November 2024
Department of Hepatobiliary Pancreatic Surgery, Huadu District People's Hospital of Guangzhou, Guangzhou, 510800, Guangdong, PR China.
Background: Peritoneal drainage (PD) following laparoscopic appendectomy(LA) has long been considered beneficial for appendicitis patients, especially those with complicated appendicitis. However, recent research has raised doubts about the advantages of PD, as it not only fails to reduce postoperative complications but also prolongs the operative duration and hospital stay and incurs higher medical expenses. Given this controversy, we conducted a meta-analysis to determine whether drainage is necessary after LA for complicated appendicitis.
View Article and Find Full Text PDFStump appendiceal abscess after appendicectomy: A case report.
Int J Surg Case Rep
December 2024
Hôpital la Rabta, Tunis, Tunisia.
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.
Comparison of three different methods for stump closure in laparoscopic appendectomy: Endoloop, Hem-o-lok clip, and endostapler.
Ulus Travma Acil Cerrahi Derg
November 2024
Department of General Surgery, Istanbul University- Cerrahpasa Cerrahpasa Medical Faculty, İstanbul-Türkiye.
Article Synopsis
- * The study analyzed 150 patients who underwent laparoscopic appendectomy to compare the effectiveness and safety of three stump closure methods: endoloop, Hem-o-lok clips, and endostaplers.
- * Results showed that 96% of patients experienced no major complications, while the remaining 4% had issues, indicating that all three closure methods can be effective, though more research is needed on the best approach.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!