Stump Appendicitis: A Comprehensive Review of Literature

Liang, Mike K.; Lo, Helen G.; Marks, Jenifer L.
February 2006
American Surgeon;Feb2006, Vol. 72 Issue 2, p162
Academic Journal
Appendectomy for appendicitis is one of the most common procedures performed in the United States. Residual tissue left after an initial appendectomy risks the development of stump appendicitis. A comprehensive review of the English-language literature revealed 36 reported cases of stump appendicitis. Typically, patients present with signs and symptoms similar to acute appendicitis; however, due to prior surgery, the diagnosis is difficult and the rate of appendiceal stump perforation is extremely high. Herein, we present a case of a 32-year-old female presenting with right lower quadrant pain, nausea, and fever 5 months after laparoscopic appendectomy. Upon surgery, an appendiceal stump was discovered.


Related Articles

  • Appendectomy using single-incision pediatric endosurgery for acute and perforated appendicitis. Muensterer, Oliver J.; Nougues, Cecilia Puga; Adibe, Obinna O.; Amin, Sejal R.; Georgeson, Keith E.; Harmon, Carroll M. // Surgical Endoscopy;Dec2010, Vol. 24 Issue 12, p3201 

    Background: Single-incision pediatric endosurgical (SIPES) appendectomy has been reported in few pediatric surgical centers. We have adopted the technique recently and have offered it to all patients in whom appendectomy was indicated. The purpose of this study was to report our experience with...

  • Retained appendicoliths after laparoscopic appendectomy. Nejmeddine, Affes; Najla, Feriani; Rafik, Mzali; Salah, Boujelben; Issam, Beyrouti Mohamed // Internet Journal of Surgery;2009, Vol. 20 Issue 1, p27 

    Appendiceal fecaliths are composed of inspissated fecal material, mucus with trapped calcium phosphate, and inorganic salts. Appendicoliths favour appendicitis. Abscesses or fistulas secondary to retained appendicoliths will likely continue to increase in frequency with the more widespread use...

  • Laparoscopic versus Open Appendectomy: Is the Postoperative Infectious Complication Rate Different? Hoehne, Francesca; Ozaeta, Maria; Sherman, Bill; Miani, Peter; Taylor, Edward // American Surgeon;Oct2005, Vol. 71 Issue 10, p813 

    Despite the reported advantages of laparoscopic appendectomy (LA), there is debate about the postoperative infectious complication rate. Our study attempts to determine if the infectious complication rate between LA and open appendectomy (OA) is different. A retrospective review was conducted of...

  • Videolaparoscopic appendectomy: the current outlook. Roviaro, G. C.; Vergani, C.; Varoli, F.; Francese, M.; Caminiti, R.; Maciocco, M. // Surgical Endoscopy;Oct2007, Vol. 21 Issue 10, p1902 

    The article presents the authors' comments on an article, in which their series of 1,347 laparoscopic appendectomies, were discussed. The authors say that it has been remarked in the article that their rate of complications is low, but it is also stressed that some of the authors' complications...

  • True single-port appendectomy: first experience with the “puppeteer technique”. Roberts, Kurt Eric // Surgical Endoscopy;Aug2009, Vol. 23 Issue 8, p1825 

    Laparoscopic appendectomy is one of the most commonly performed minimally invasive surgeries worldwide. In recent years, successful attempts to reduce the number of the traditionally used three ports have been reported. Specifically, two-port techniques, hybrid approaches, and single-port...

  • Open and laparoscopic appendectomy are equally safe and acceptable in children. Oka, T.; Kurkchubasche, A.G.; Bussey, J.G.; Wesselhoeft Jr., C.W.; Tracy Jr., T.F.; Luks, F.I. // Surgical Endoscopy;Feb2004, Vol. 18 Issue 2, p242 

    Background: The aim of this study was to evaluate prospectively whether laparoscopic (LA) and open appendectomy (OA) are equally safe and feasible in the treatment of pediatric appendicitis. Methods: A total of 517 children with acute appendicitis were randomly assigned to undergo LA or OA...

  • Safety of Laparoscopic Appendectomy During Pregnancy. Kirshtein, Boris; Perry, Zvi Howard; Avinoach, Eliezer; Mizrahi, Solly; Lantsberg, Leonid // World Journal of Surgery;Mar2009, Vol. 33 Issue 3, p475 

    Use of laparoscopic appendectomy (LA) remains controversial during pregnancy because data regarding procedure safety are limited. The outcome of LA in pregnant women was evaluated and compared to results of open surgery. Between January 1997 and December 2007, 42 pregnant women (mean age 24...

  • Does Use of Intraoperative Irrigation with Open or Laparoscopic Appendectomy Reduce Post-Operative Intra-abdominal Abscess? MOORE, CHRISTOPHER B.; SMITH, R. STEPHEN; HERBERTSON, ROBERT; TOEVS, CHRISTINE // American Surgeon;Jan2011, Vol. 77 Issue 1, p78 

    To date, no study shows a decrease in postoperative abscess with the use of irrigation during appendectomy. Postoperative abscess rate for laparoscopic and open appendectomy is 3.3 and 2.6 percent. The purpose of this study is to determine if irrigation at appendectomy decreases the...

  • An Unusual Journey of a Retained Fecalith. Temeltas, Esra; Vargun, Rahsan; Fitoz, Suat; Kologlu, Meltem Bingöl // Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2009 Supplement 1, Vol. 19, ps165 

    Retained fecalith after appendectomy is an uncommon complication and is mostly presented as an intra-abdominal abscess. Development of an extra-abdominal abscess due to retained fecalith is extremely rare. There are only a few cases reported in adults. In this paper, we present a case...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics