The dilemma of stump appendicitis — A case report and literature review

Hendahewa, Rasika; Shekhar, Ashvini; Ratnayake, Sujith

doi:10.1016/j.ijscr.2015.07.017

Cited by 25 publications

(30 citation statements)

References 11 publications

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“…This has often been associated with difficult appendicectomies with significant local inflammation or complications such as perforation or phlegmon 2 3. At laparoscopy, the appendiceal critical view should be obtained, with the appendix held at 10 o’clock, taenia coli at 3 o’clock and terminal ileum at 6 o’clock, with a clear view of the termination of the taenia at the base of the appendix.…”

Section: Discussionmentioning

confidence: 99%

“…It is unclear if conservative management, followed by interval appendicectomy may be a useful treatment strategy. Invagination of the appendiceal stump and routine stapling of the base of the appendix have been suggested to reduce this complication; however, currently no literature support this hypothesis 2 3Learning points

Stump appendicitis is rare but should be considered in patients presenting with symptoms and signs similar to acute appendicitis and a history of previous appendicectomy.

Care should be taken to identify the appendiceal base at operation.

…”

Section: Discussionmentioning

confidence: 99%

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Stump appendicitis 5 years after laparoscopic appendicectomy

et al. 2016

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A 31-year-old healthy man presented with right lower quadrant pain and tenderness, mild neutrophilia and clinical presentation consistent with appendicitis, despite undergoing a laparoscopic appendicectomy 5 years prior. CT scan demonstrated a caecal phlegmon, in the expected region of the appendiceal stump. The patient was taken for laparoscopy and a 2 cm inflamed appendiceal stump was encountered. A distal caecectomy was performed and the patient made an unremarkable recovery. Histological examination was consistent with acute inflammation of the appendiceal stump. Only a small number of case reports of stump appendicitis have been published so far. Correct identification and ligation of the appendiceal stump is crucial to prevent this complication. Although normally it is treated with completion appendicectomy, the optimal treatment approach for this condition has not been well established.

show abstract

Section: Discussionmentioning

confidence: 99%

Stump appendicitis is rare but should be considered in patients presenting with symptoms and signs similar to acute appendicitis and a history of previous appendicectomy.

Care should be taken to identify the appendiceal base at operation.

…”

Section: Discussionmentioning

confidence: 99%

Stump appendicitis 5 years after laparoscopic appendicectomy

et al. 2016

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“…2 Our literature review shows no documented cases of distal stump appendicitis. 2 Our literature review shows no documented cases of distal stump appendicitis.…”

mentioning

confidence: 83%

“…Stump appendicitis has a reported incidence of one in 50 000 cases. 2 Our literature review shows no documented cases of distal stump appendicitis. An early diagnosis is essential to avoid complications, such as perforation, intra-abdominal abscess and generalized peritonitis.…”

mentioning

confidence: 83%

Out of sight, out of mind: perforated distal stump appendicitis

Nadeem

Jacob

Ollapallil³

2017

ANZ Journal of Surgery

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“…Pericecal inflammation, abscess formation, fluid in the right iliac fossa, cecal wall thickening, and an ileocecal mass may be CT findings in SA, which are similar to those in acute appendicitis. In case of vagueness, diagnostic laparoscopy may be next diagnostic and therapeutic approach (2). Treatment is completion appendectomy (5).…”

Section: Letters To the Editormentioning

confidence: 99%