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Case Reports
. 2022 Sep 27:43:43.
doi: 10.11604/pamj.2022.43.43.37149. eCollection 2022.

Twice perforated stump appendicitis: a case report

Pueya Rashid Nashidengo  1 , Francis William Quayson  1 , John Tabiri Abebrese  1 , Rejoice Tjipetekera  1 , Sharifa Sushmita Seibes  1
Affiliations
Case Reports

Twice perforated stump appendicitis: a case report

Pueya Rashid Nashidengo et al. Pan Afr Med J. .

Abstract

Stump appendicitis is an acute inflammation of the residual appendix and one of the rare complications after appendectomy. Stump appendicitis is an under-reported and poorly defined condition related to obstruction and inflammation of the residual appendix after an appendectomy, usually by a fecolith. It remains a clinical challenge because of delayed diagnosis and subsequent treatment with increased morbidity or mortality. Herein, we describe the case of a 42-year-old male who presented with periumbilical pain with progression to generalized abdominal pain and signs of peritonitis 14 months post appendectomy. An exploratory laparotomy revealed an inflamed, non-gangrenous perforated appendices stump. We discuss the challenges in the diagnosis and management thereof.

Keywords: Appendicitis; case report; exploratory laparotomy; stump appendicitis.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
intra-operative picture of a perforated non-gangrenous appendiceal stump
See this image and copyright information in PMC

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