A Stump Appendicitis in a Child: a Case Report

Overview

Journal Ital J Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2009 Nov 19

PMID 19919712

Citations 6

Authors

Manef Gasmi

Fatma Fitouri

Sondes Sahli

Radhia Jemai

Mourad Hamzaoui

Affiliations

Soon will be listed here.

Abstract

Background: Stump appendicitis is a delayed complication of appendectomy. It is rare and few cases reported in the paediatric literature. The authors report on another case in a child and focus on the diagnostic peculiarities of this entity.

Case: A 9-year-old boy with previous history of open appendectomy was admitted for a right lower quadrant pain with bilious vomiting and fever. Physical examination demonstrated tenderness in the right lower quadrant and guarding over the appendectomy scar. The white blood cell count was 23.500 cells/mm3. Plain abdominal radiograph and ultrasonography revealed fecalith localized in the right iliac fossa. The diagnosis of stump appendicitis was advocated and confirmed at laparotomy. A gangrenous and perforated appendiceal stump was found and completely removed. The post-operative course was uneventful after 18 months follow-up period.

Conclusion: Stump appendicitis is rare and should be considered in any patient with right lower quadrant pain even if there is a history of appendectomy. Complete removal of the appendix is the only mean to prevent the occurrence of this complication.

Citing Articles

Stumped by a Case of Appendicitis After Appendectomy.

Yuen A, Suessman A Ochsner J. 2024; 24(2):147-150.

PMID: 38912182 PMC: 11192215. DOI: 10.31486/toj.23.0098.

Stump appendicitis in children: a systematic review.

Baskovic M, Zaninovic L, cizmic A, Zganjer M Pediatr Surg Int. 2023; 39(1):199.

PMID: 37188869 DOI: 10.1007/s00383-023-05475-1.

High-volume center analysis and systematic review of stump appendicitis: solving the pending issue.

Casas M, Dreifuss N, Schlottmann F Eur J Trauma Emerg Surg. 2021; 48(3):1663-1672.

PMID: 34085112 DOI: 10.1007/s00068-021-01707-y.

Stump appendicitis seven years after appendectomy.

Crocco S, Pederiva F, Zanelli E, Scarpa M, Barbi E, Ventura A APSP J Case Rep. 2013; 4(2):33.

PMID: 24040611 PMC: 3754418.

An unsuspected clinical condition: Appendicitis of appendicular residual, three cases report.

Minguez G, Gonzalo R, Tamargo A, Turienzo E, Mesa A, Vazquez L Int J Surg Case Rep. 2013; 4(4):371-4.

PMID: 23474976 PMC: 3605474. DOI: 10.1016/j.ijscr.2013.01.026.

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