A 60-year literature review of stump appendicitis: the need for a critical view

Stump appendicitis in a 2 year-old patient. Case report and literature review

“…Some authors argue that the absence of tactile perception and two-dimensional view predispose to a long appendiceal stump, thus causing a new process of appendicitis (10); however, a retrospective study by Liang et al showed that 66% of patients presented with a history of open appendectomy (14,16,17,18). The experience at Fundación Hospital de la Misericordia, a pediatric referral hospital where 1348 appendectomies were performed in 2013 and 1100 in 2014, shows that only one case was presented in the mentioned period.…”

“…Since this diagnosis is associated with a high rate of complications, it is best to prevent by leaving a stump smaller than 5 mm, since a greater length may cause a fecolith (15,18).…”

“…First, they recommend to clearly locate the union of the cecum with the appendix and transitively the base, for which the teniae coli must be followed to the base, and then, to establish the union of three virtual axes corresponding to the terminal ileum, cecal appendix and teniae coli to obtain the "critical view" of the base; the appendix must be located at 10 o'clock, the teniae coli at 3 o'clock and the terminal ileum at 6 o'clock. Finally, the mesoappendix can be dissected and the appendicular base can be located more easily (18,22).…”

An amputated appendicitis: should we search for distal amputated part?

“…The presence of local peritonitis, adhesions, oedema, abscess, preileal, subserosal appendix are related factors leading to incomplete removal of appendix. [6] Clinical presentation of residual distal remnant appendicitis is more or less similar to the severe appendicitis. Ultrasonography can be diagnostic in distal remnant appendicitis, but in our patients it has not helped so much may be because it is operator dependant.…”

Appendicitis of appendiceal stump complicated by anaerobic peritonitis and retroperitoneal phlegmon

“…При возникновении клини-ческой картины острого аппендицита у пациентов с аппендэктомией в анамнезе наиболее часто предпо-лагают правосторонний дивертикулит и воспаление придатков матки. При этом назначают антибиоти-ки, купирующие воспалительные явления в культе в большинстве случаев [3,4].…”