Stump appendicitis: A rare but important entity

Roche-Nagle, Graham; Gallagher, C.; Kilgallen, C.; Caldwell, Matthew

doi:10.1016/s1479-666x(05)80015-0

Cited by 23 publications

(15 citation statements)

References 6 publications

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“…We, therefore, recommend early recognition of this clinical entity to decrease morbidity and high rate of perforation associated with delayed diagnosis [7, 18, 31, 32]. …”

Section: Discussionmentioning

confidence: 99%

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Stump Appendicitis: An Uncompleted Surgery, a Rare but Important Entity with Potential Problems

Awe

Soliman

Gourdie

2013

Case Reports in Surgery

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Appendicectomy for appendicitis is one of the commonest surgical procedures performed worldwide. The residual appendiceal stump left after an initial appendectomy risks the development of stump appendicitis. Stump appendicitis is a real recognized entity but not often considered when evaluating patients with right lower quadrant abdominal pain, especially those with past history of appendectomy. It remains a clinical challenge with the result that its diagnosis and effective treatment are often delayed with possible attendant morbidity or mortality. Stump appendicitis results from obstruction of the lumen of the remaining appendix stump, usually by a faecolith. This increases intraluminal pressure, impairing venous drainage and allowing subsequent bacterial infection. We present the case of a twenty-five (25)-year-old female who underwent laparoscopic appendicectomy and presented four and half (4(1/2)) months later with fever, right lower quadrant abdominal pain, and tenderness associated with repeated vomiting. Exploratory laparotomy was carried out after clinical and imaging studies which revealed big inflammatory mass with abscess at the right iliac fossa and recurrent appendicitis of the appendiceal stump. Surgical treatment is easy but recognition of this important entity but potentially dangerous condition should always be borne in mind in order to avoid delay in its diagnosis and treatment.

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“…We, therefore, recommend early recognition of this clinical entity to decrease morbidity and high rate of perforation associated with delayed diagnosis [7, 18, 31, 32]. …”

Section: Discussionmentioning

confidence: 99%

“…It is to draw attention to the fact that stump appendicitis with all its attendant complications such as perforation, abscess formation is real and should be borne in mind in the differential diagnosis of patients presented with right iliac fossa pain after appendectomy [18]. …”

Section: Introductionmentioning

confidence: 99%

Stump Appendicitis: An Uncompleted Surgery, a Rare but Important Entity with Potential Problems

Awe

Soliman

Gourdie

2013

Case Reports in Surgery

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“…The incidence of stump appendicitis is also probably underestimated and under-reported (3,14). Incomplete reporting of this complication makes the exact incidence unknown (21,22). In a retrospective study of 2185 patients who underwent appendectomy, Mangi and Berger identified only three patients with stump appendicitis (7).…”

Section: Pathophysiologymentioning

confidence: 99%

A Child with Appendicitis After Appendectomy

Waseem

Devas

2008

The Journal of Emergency Medicine

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“…1 The surgeons have been confronting the acute appendicitis since it was first described in 1886 by R H Fitz1 2 , its diagnosis still remains a dilemma to almost all of the surgeons, at least some point in their practice. 3 Acute appendicitis is classified as simple, gangrenous or perforated on basis of operative findings and histologic appearance. 4 The overall mortality rate for appendicitis is less than 1%.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Surgical Site Infection (SSI) after appendicectomy with per-operative morphological appearance of appendix.

Firdos

Abdi²,

Laghari

et al. 2020

TPMJ

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Acute appendicitis is the most common cause of emergency abdominal surgery worldwide. Postoperatively, surgical site infection (SSI) occurs in 3% to 60% of appendicectomized patients, depending on pathological state of appendix. SSI is a devastating complication from biologic and economic point of view and has enormous impact on patient’s quality of life. Objectives: To determine the frequency of surgical site infection after appendicectomy in patients presenting as acute appendicitis and correlate it with per-operative morphological appearance of appendix. Study Design: Cross-sectional study. Setting: Department of General Surgery, Liaquat University of Medical and Health Sciences Jamshoro. Period: One year from March 2015 to February 2016. Material & Methods: This study was carried out on 200 patients. All male and female patients above age of 12 years with clinical diagnosis of acute appendicitis or localized peritonitis due to perforated appendix undergoing appendectomy by grid iron incision and whose skin closed primarily by interrupted silk 2/0 stitches were included in the study. Operative findings were recorded and inflammation of appendix was graded into four categories. Postoperatively patients were followed for period of 30 days to check the development of SSI. Results: Out of 200 patients, 42 suffered from SSI (21%). On the basis of per-operative morphological appearance of appendix, uncomplicated appendicitis was significantly high 135(67.5%) than complicated appendicitis 65(32.5%). SSI developed in 12(28.5%) cased of uncomplicated and 30(71.5%) cases of complicated appendicitis. Conclusion: It was not possible to establish a relationship between SSI and per-operative morphological appearance of appendix. Frequency of SSI reported here (21%) is comparable with literature. We recommended that avoiding delay in diagnosis, use of peri-operative antibiotics, sound surgical technique to avoid wound contamination and continuing surveillance is necessary to further reduce SSI rates after open appendicectomy.

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Stump appendicitis: A rare but important entity

Cited by 23 publications

References 6 publications

Stump Appendicitis: An Uncompleted Surgery, a Rare but Important Entity with Potential Problems

Stump Appendicitis: An Uncompleted Surgery, a Rare but Important Entity with Potential Problems

A Child with Appendicitis After Appendectomy

Correlation of Surgical Site Infection (SSI) after appendicectomy with per-operative morphological appearance of appendix.

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