Stump appendicitis due to retained fecalith after laparoscopic surgery

Stump appendicitis is a rare cause of right iliac fossa pain in patients with a previous history of appendectomy for acute appendicitis. The presentation is often delayed and may pose a clinical diagnostic challenge to the surgeon. More often, a high index of suspicion backed with relevant radiologi...

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Bibliographic Details
Published in:Nigerian medical journal 2019-03, Vol.60 (2), p.92-94
Main Authors: Balogun, Olanrewaju, Osinowo, Adedapo, Makanjuola, Ayomide, Nwokocha, Samuel
Format: Article
Language:English
Subjects:
Appendicitis
Care and treatment
Case Report
Diagnostic equipment (Medical)
Laparoscopy
Medical personnel
Physicians
Practice
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Summary:Stump appendicitis is a rare cause of right iliac fossa pain in patients with a previous history of appendectomy for acute appendicitis. The presentation is often delayed and may pose a clinical diagnostic challenge to the surgeon. More often, a high index of suspicion backed with relevant radiologic investigations is required for diagnosis. Open and laparoscopic appendectomy may be complicated by stump appendicitis. We report our experience in a 49-year-old Nigerian who presented to us with recurrent right iliac fossa pain and abdominal distension of 2 weeks' duration. The patient had laparoscopic appendectomy 1 year prior to presentation to us. A diagnosis of stump appendicitis with small-bowel obstruction was made with an abdominal computed tomography scan. He had an open stump appendectomy and small-bowel adhesiolysis with a good postoperative outcome.
ISSN:0300-1652
2229-774X
DOI:10.4103/nmj.NMJ_39_19