Agić, Mirha; Delibegović, Samir
March 2013
BH Surgery;2013, Vol. 3 Issue 1, p58
Academic Journal
Case Study
Stump appendicitis (SA) is an acute inflammation of the residual appendix and a rare complication after appendectomy. Although the signs and symptoms do not differ from acute appendicitis, the diagnosis is often not considered because of the past surgical history. The incidence of SA may be increasing, possibly because of the widespread use of laparoscopic appendectomy. This may result in a long appendicle stump which is the commonest aetiology for stump appendicitis. Confirmation is either by imaging studies or diagnostic laparoscopy. Only a small number of cases of stump appendicitis after laparoscopic appendectomy have been reported, but there has been no report of stump appendicitis following laparoscopic appendectomy in Bosnia. We reported the case of a 53 year old female with acute onset of abdominal pain having undergone laparoscopic appendectomy one year previously. A computed tomography scan of abdomen and pelvis revealed the presence of an inflamed tubular structure and pus in the right sub-hepatic space. An intra-operative diagnosis of residual tip appendicitis was made. The tubular structure, measuring 2.5 cm in length, was removed and was confirmed histologically as appendicitis with evidence of acute inflammatory changes. The patient made an uneventful recovery and was discharged home six days post-operatively.


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