Stump appendicitis: a relatively under-reported reality

Abstract

Stump appendicitis (SA) is a rare and under-reported complication of open as well as laparoscopic appendicectomy. Diagnosis of SA is often delayed and requires a high index of suspicion in those presenting with signs and symptoms of appendicitis and a history of appendicectomy.We presented a case of SA in a 20-year-old man with a history of open appendicectomy. He was managed conservatively using intravenous antibiotics. The risk of SA is influenced by surgical technique; however, it is unclear whether the incidence is higher with laparoscopic or open procedures. There is little evidence guiding the management of SA with the majority of reported cases treated operatively. This diagnosis should be suspected on the basis of history and examination and CT scanning is a useful tool in most adult cases aiding diagnosis. Management may be guided by the progression of the patient's symptoms either towards operative intervention or a conservative approach.

Recurrent appendicitis of vermiform appendix after a prior appendectomy: A case report and review of the literature

“…The literature search was conducted using the terms(s): “recurrent appendicitis” AND “vermiform appendix” OR “stump appendicitis” OR “appendiceal duplication”. The symptomatology, imaging findings, treatment employed, and the follow-up are delineated by Table 1 below [ [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] ].…”

Acute Appendicitis—we thought we knew it all?

“…On the other hand, the laparoscopic techniques are constantly developed using a single-incision approach (14) or gasless laparoscopy (15), for example. Even "new" diseases are discovered, such as the stump appendicitis, although obviously it can also occur after incomplete open appendectomy (16).…”