Martínez-Garza PA, Robles LLPA, Reyes ELG, Visag CVJ, Olvera GNT

Language: Spanish
References: 20
Page: 58-62
PDF size: 397.38 Kb.

ABSTRACT

Objective: To describe a case of appendiceal stump appendicitis and to perform a literature review.
Setting: Hospital Médica Sur (Third level health care private hospital).
Design: Case report.
Description of the case: Man of 28 years of age, with an antecedent of complicated appendicitis managed surgically 15 years ago. The patient had coursed for the last 48 h with colic-type abdominal pain, not well localized, oriented towards the lower half of the abdomen, he was without fever the first 24 h, he presented no nausea nor vomiting; 12 h later the pain intensified until reaching 10 of 10, in the lower hemiabdomen, with fever of 38.5°C and nausea but no vomiting. Peritoneal irritation data were found, leukocytosis with neutrophilia, imaging studies were suggestive of acute appendicitis; hence, it was decided to perform an exploratory laparotomy. During this, an appendicular remnant of approximately 1 cm was evidenced at the base of the cecum. Right hemicolectomy was performed with ileo-transverse latero-lateral anastomosis. The histopathological study confirmed appendicitis of the stump.
Conclusion: Appendicitis of the appendiceal stump is a rare complication of appendicectomy, which occurs when the appendicular resection is not performed adequately. This is due to a wrong identification of the appendicular base, for diverse reasons, which leads to leave an appendiceal stump of more than 5 mm.

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