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2023, Number 1

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Acta Med 2023; 21 (1)

Hepatic abscess piogen secondary to stump appendicitis

Argüello RV, Boscó GI, Gutiérrez RF, Martínez RDA
Full text How to cite this article 10.35366/109028

DOI

DOI: 10.35366/109028
URL: https://dx.doi.org/10.35366/109028

Language: Spanish
References: 7
Page: 76-79
PDF size: 190.41 Kb.


Key words:

stump appendicitis, liver abscess, abdominal pain, tomography.

ABSTRACT

Stump appendicitis is a rare and late severe complication in appendectomized patients. The actual incidence and prevalence are not well known; however, it is considered superior to the cases published in the medical literature. In 2012 there were around 50 cases reported internationally. A previous incomplete appendicular resection leaves the path open to new appendicitis, in this case of the stump, as well as complications, among which is the intrahepatic abscess, which is a prime reason for the communication of the following case. The diagnosis of suspicion is clinical, together with imaging techniques, with ultrasound and computed tomography being the most cost-effective explorations.


REFERENCES

  1. Kumar A, Sharma A, Khullar R, Soni V, Baijal M, Chowbey PK. Stump appendicitis: A rare clinical entity. J Minim Access Surg. 2013; 9 (4): 173-176.

  2. Watkins BP, Kothari SN, Landercasper J. Stump appendicitis: case report and review. Surg Laparosc Endosc Percutan Tech. 2004; 14 (3): 167-171.

  3. Paik PS, Towson JA, Anthone GJ, Ortega AE, Simons AJ, Beart RW Jr. Intra-abdominal abscesses following laparoscopic and open appendectomies. J Gastrointest Surg. 1997; 1 (2): 188-192; discussion 192-193.

  4. Shin LK, Halpern D, Weston SR, Meiner EM, Katz DS. Prospective CT diagnosis of stump appendicitis. AJR Am J Roentgenol. 2005; 184 (3 Suppl): S62-S64.

  5. Akhondi H, Sabih DE. Liver abscess. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.

  6. Lederman ER, Crum NF. Pyogenic liver abscess with a focus on Klebsiella pneumoniae as a primary pathogen: an emerging disease with unique clinical characteristics. Am J Gastroenterol. 2005; 100 (2): 322-331.

  7. Eroles Vega G, Mecina Gutiérrez AB, Fernández García C, Mancebo Plaza AB, Riva Jiménez I. de la. Abscesos hepáticos: análisis retrospectivo de 68 casos. An Med Interna (Madrid). 2008; 25 (7): 335-341.




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Acta Med. 2023;21