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Case Reports
. 2009 Jul 9:2:7415.
doi: 10.4076/1757-1626-2-7415.

Prompt recognition of stump appendicitis is important to avoid serious complications: a case report

Ismail Ismail  1 , Domenico Iusco, Marcello Jannaci, Giuseppe Giovanni Navarra, Antonio Grassi, Serena Bonomi, Roberta Parpanesi, Andrea Giombi, Salvatore Virzì
Affiliations
Case Reports

Prompt recognition of stump appendicitis is important to avoid serious complications: a case report

Ismail Ismail et al. Cases J. .

Abstract

Introduction: Stump appendicitis is a rare complication of appendectomy due to recurrent inflammation of the residual appendix. The diagnosis is often delayed due to low index of suspicious, which may result in serious complications.

Case presentation: We describe a case of stump appendicitis occurred 12 months after appendectomy in 25 years old man. Despite past medical history of appendectomy the diagnosis was made by means of ultrasound scan and an high degree of clinical suspicion.

Conclusions: Stump appendicitis is a rare but important complication of appendectomy, often misdiagnosed. Prompt recognition is important to avoid serious complications. This pathologic entity should always be kept in mind on case of right lower quadrant pain.

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Figures

Figure 1.
Figure 1.
Computed Tomography scan showing a hyperdense formation in RLQ surrounded by an edematous and spastic viscera.
Figure 2.
Figure 2.
Abdominal ultrasonography showing an oval hypoechoic formation arising from the base of the cecum and the hyperechoic formation in it.
Figure 3.
Figure 3.
Intraoperative finding.
See this image and copyright information in PMC

References

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