Stump Appendicitis: Result of an Incomplete Surgery

Stump Appendicitis Management

“…Previous literature review reported that 66 per cent of stump appendicitis cases occurred after an open appendectomy and 34 per cent of cases occurred after a laparoscopic appendectomy. 2 The reported interval between appendectomy and the presentation of stump appendicitis varies from weeks to years. A long appendiceal stump and improper identification of the appendix base during appendectomy are the main risk factors for a residual appendix.…”

“…A CT abdomen and pelvis can support the diagnosis. 2 Stump appendicitis is often a delayed diagnosis because of low awareness by physicians, leading to higher morbidity and 70 per cent perforation rate compared with acute appendicitis. 1 Completion appendectomy is the treatment for stump appendicitis, but the timing of the operation has not been well described.…”

“…Stump appendicitis is described as an infection of the remnant appendix that presents clinically similar to appendicitis. 2 The standard treatment for stump appendicitis is completion appendectomy. Because of surrounding inflammation, an ileocectomy or right hemicolectomy may be required.…”

¿Es la apendectomía un procedimiento quirúrgico simple?

“…Complications seen after appendectomy include wound infection, hernia, intra-abdominal abscesses, intestinal obstruction, incisional hernias, and stump appendicitis. In studies conducted, 66% of stump appendicitis cases were reported after open appendectomy and 34% of them were seen after laparoscopic appendectomy 2 . The time gap between the appendectomy and the appearance of stump appendicitis symptoms can vary from weeks to years.…”

“…Computed tomography (CT) confirms the diagnosis. The diagnosis of stump appendicitis is usually delayed due to the doctors neglecting the diagnosis and when it is diagnosed, it is observed that it causes higher morbidity with 70% perforation rate compared to acute appendicitis 2 . Complementary appendectomy is the treatment of stump appendicitis, but the timing of treatment is not well defined 4 .…”