Korean J Gastroenterol.  2008 Jan;51(1):45-47.

A Case of Stump Appendicitis after Appendectomy

Affiliations
  • 1Department of Surgery, Keimyung University College of Medicine, Daegu, Korea. sgbeak@dsmc.or.kr
  • 2Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea.
  • 3Department of Diagnostic Radiology, Keimyung University College of Medicine, Daegu, Korea.

Abstract

Stump appendicitis is an acute inflammation of the residual appendix and a rare complication after an appendectomy. Although the signs and symptoms do not differ from acute appendicitis, the diagnosis is often not considered because of the past surgical history. Only a small number of stump appendicitis cases have been reported, but there has been no report of stump appendicitis in Korea. Herein, we report a case of stump appendicitis. A 28-year-old female was admitted to our hospital due to right lower quadrant abdominal pain. Fifteen months ago, the patient had a laparoscopic appendectomy under the diagnosis of an acute appendicitis, but she subsequently suffered from intermittent abdominal pain and fever. Abdominal ultrasonography and CT scan showed an inflamed appendiceal stump. Laparoscopic stump appendectomy was done and the biopsy revealed stump appendicitis.

Keyword

Appendectomy; Appendicitis; Stump

MeSH Terms

Acute Disease
Adult
*Appendectomy
Appendicitis/*diagnosis/surgery/ultrasonography
Appendix/surgery
Diagnosis, Differential
Female
Humans
Postoperative Complications/*diagnosis/ultrasonography
Tomography, X-Ray Computed
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