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2015, Number 3

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Med Sur 2015; 22 (3)

Stump appendicitis, appendectomized patients with appendicitis

González-Chávez MA, Díaz-Girón-Gidi A, González-Hermosillo-Cornejo D, Vélez-Pérez FM, Villegas-Tovar E, Faes-Petersen R, Robles-Menchero MJ, Chablé-Montero F, Robles-Landa, LPA, Andrade-Martínez-Garza P
Full text How to cite this article

Language: Spanish
References: 10
Page: 150-152
PDF size: 217.98 Kb.


Key words:

Acute abdomen, Laparoscopy, General surgery.

ABSTRACT

Appendectomy is one of the most frequently performed operations by general surgeon. One of the long-term complications of this procedure is the appendicitis of the stump. The objective of this article is to describe a rare form of appendicitis. We present the case of a 24-year-old patient who have been surgically intervened for acute appendicitis at the age of 12, being admitted to the Emergency Department presenting abdominal pain and fever of 38°C. On physical examination, abdominal pain and appendicular signs were found and the laboratory tests were suggestive of an infectious process. Accordingly, acomputed tomography was indicated, showing a heterogeneous lesion on the right iliac fossa compatible with a plastron at the same level, thus surgical treatment was planned.We conclude that stump appendicitis is a rare cause of abdominal pain in appendectomised patients.


REFERENCES

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  2. Fitz RH. Perforating inflammation of the vermiform appendix with special reference to its early diagnosis and treatment. Am J Med Sci 1886; 92:321.

  3. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132(5):910.

  4. Jaffe BM, Berger DH. Apéndice. En: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Pollock RE (eds.). Shwartz Principios de Cirugiěa. 8a. Ed. México: Mc Graw Hill Interamericana; 2006, p. 1119-38.

  5. Andersson RE. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg 2004;91(1):28.

  6. Rose TF. Recurrent appendiceal abscess. Med J Aust 1945;32: 352-9.

  7. Kumar A, Sharma A, Khullar R, et al. Stump appendicitis: a rare clinical entity. J Minim Access Surg 2013; 173-62

  8. Crocco S, Pederiva F, Zanelli E, et al. Stump appendicitis seven years after appendectomy. APSP J Case Rep 2013; 4:33.

  9. Tang XB, Qu RB, Bai YZ, Wang WL. Stump appendicitis in children. J Pediatric Surg 2011;46:233e6.

  10. Roberts KE, Starker LF, Duffy AJ, Bell RL, Bokhari J. Stump appendicitis: a surgeons dilemma. JSLS 2011;15: 373-8.




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Med Sur. 2015;22