HighlightsStump appendicitis is a rare presentation and therefore presents as a diagnostic dilemma.A PubMed search was conducted to identify cases of stump appendicitis following appendectomy.We report a case of a 72 year old female who presents 7 years post appendectomy with stump appendicitis.Systematic review of 61 cases were analyzed and outcomes highlighted.

HighlightsIntestinal malrotation is a congenital rotational anomaly that occurs as a result of an arrest of normal rotation of the embryonic gut, said to occur in 1 in 6000 live births. Once thought to be a disease of infancy, is now more prevalent in older ages.Cases of left sided appendicitis with previously undiagnosed intestinal malrotation therefore becomes more challenging to diagnose, and often time’s definitive surgical management is delayed. A varied list of differential diagnosis needs to be considered.This case presentation shows the difficulties encountered and the variation in presentation that lead us down a different path prior to attaining a formal diagnosis.CT abdomen was required to confirm the diagnosis, and in a paediatric age group, radiation exposure is always weighed upon risk-benefit ratio.Definitive management is surgical intervention.

HighlightsComplete bowel obstruction secondary to sigmoid endometriosis.Preoperative measurements can be inconclusive in diagnosing sigmoid endometriosis.CT Colonogram illustrates external effect of a mass on sigmoid colon.Sigmoid endometriosis must be considered as a differential diagnosis in bowel obstruction.

No abstract