TITLE

Stump Appendicitis

AUTHOR(S)
Mangi, Abeel A.; Berger, David L.
PUB. DATE
August 2000
SOURCE
American Surgeon;Aug2000, Vol. 66 Issue 8, p739
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
There has been a recent increase in interest in stump appendicitis with the rapid development of laparoscopic appendectomy. The objective of this study is to determine the frequency, management, and prevention of stump appendicitis in a retrospective review of 2185 cases of appendectomy and right colectomy at the Massachusetts General Hospital from 1960 to 1998. Three patients with stump appendicitis were identified. Patients presented with epigastric or periumbilical pain that radiated to the fight lower quadrant. All had focal abdominal signs and a mild to moderate leukocytosis, and all underwent right colectomy. Pathology noted appendiceal stumps 5 mm deep. Two additional patients with chronic abdominal pain had cecal filling defects on barium enema. Endoscopically, these appendiceal stumps were 7 mm deep with impacted fecaliths and pathologic changes consistent with early inflammation. The stumps were resected by snare electrocautery. Stump appendicitis is a very rare entity. Its incidence may be minimized with accurate visualization of the appendiceal base and creation of an appendiceal stump less than 3 mm in depth. There is no correlation between simple ligation or inversion of the stump and stump appendicitis. There should not be a sudden increase in the incidence of this entity if laparoscopic appendectomy is performed properly.
ACCESSION #
3457682

 

Related Articles

  • Right Lower Quadrant Abdominal Pain Due to Appendicitis and an Incarcerated Spigelian Hernia. Lin, Peter H.; Koffron, Alan J.; Heilizer, Timothy J.; Lujan, Henry J. // American Surgeon;Aug2000, Vol. 66 Issue 8, p725 

    Spigelian hernias are uncommon and difficult to diagnose because of their location in the aponeurosis in the anterior abdominal wall. When they occur on the right side, the symptoms can include nonspecific abdominal pain mimicking appendicitis. We present an adult with right lower quadrant...

  • Acute Appendicitis in the Elderly: Diagnosis and Management Still a Challenge. Singh Bhullar, Jasneet; Chaudhary, Sushant; Cozacov, Yaniv; Lopez, Peter; Mittal, Vijay K. // American Surgeon;Nov2014, Vol. 80 Issue 11, pE295 

    The article discusses a research on acute appendicitis in older patients. It references several studies including "Acute Appendicitis-Not Just for the Young" by B. G. Harbrecht, G. A. Franklin, F. B. Miller, et al and published in a 2003 issue of the "American Journal of Surgery" and "Outcome of...

  • Appendicitis: Unmasking the great masquerader. Miller, Dana // Patient Care;7/15/1998, Vol. 32 Issue 12, p140 

    Provides information on acute appendicitis, a common surgical emergency with an annual incidence of 1.1 per 1000 persons annually. Development of appendicitis during the summer and in persons living in the upper Midwest; Lifetime risk of appendicitis; Decrease in the incidence of appendicitis...

  • Surgical management remains best option during pregnancy. Vasireddy, Archana; Atkinson, Simon; Shennan, Andrew; Bewley, Susan // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;5/26/2012, Vol. 344 Issue 7858, p29 

    A letter to the editor in response to the article "Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomized controlled trials," by K. K. Varadhan and colleagues in the April 5, 2012 issue is presented.

  • The silent appendix. Simpson, John N. // BMJ: British Medical Journal (International Edition);6/3/95, Vol. 310 Issue 6992, p1448 

    Presents a physician's experience with a woman misdiagnosed for influenza, but turned out to be suffering from appendicitis.

  • Appendicitis--less common?  // Pediatrics for Parents;1997, Vol. 17 Issue 10, p7 

    Presents information on a study conducted in the United Kingdom, which revealed that cases of acute appendicitis in people under twenty years old is on a decline. Years which were analysed to determine the incidents of acute appendicitis; Percentage of persons who indicated that they were...

  • Contrary to popular belief, acute appendicitis can resolve spontaneously.  // Modern Medicine;Jan98, Vol. 66 Issue 1, p12 

    Discusses the abstract of the article `Spontaneously resolving acute appendicitis: Clinical and sonographic documentation,' by S. Migraine, M. Atri et al, which appeared in the October 1997 issue of `Radiology.'

  • Medicine. Godrej, Dinyar // New Internationalist;Oct95, Issue 272, p1 

    Recounts the author's experience when he was diagnosed with acute appendicitis. Examination of the patient; Refusal to go under operation.

  • Subhepatic appendicitis presenting with right upper quadrant pain. Kirresh, Othman Z.; Nikolopoulos, Ioannis; Oke, Tayo; Koshy, Susan // British Journal of Hospital Medicine (17508460);Oct2012, Vol. 73 Issue 10, p593 

    Clinical images of computed tomography scans, demonstrating high riding appendix secondary to fetal malrotation which led to the diagnosis of subhepatic appendicitis in a 32-year-old-man who presented with right upper quadrant pain, are presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics