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2019, Number 3

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Revista Cubana de Cirugía 2019; 58 (3)

Relapsed appendicitis in appendectomized patients

Rodríguez FZ
Full text How to cite this article

Language: Spanish
References: 35
Page: 1-15
PDF size: 370.28 Kb.


Key words:

stump appendicitis, acute appendicitis, complicated acute appendicitis, recurrent appendicitis, appendicular stump.

ABSTRACT

Introduction: Acute appendicitis is the most common cause of acute abdomen, which requires surgical treatment by open or laparoscopic appendectomy. Recurrent appendicitis of the stump, in which inflammation of the appendicular remnant occurs, is an infrequent late complication of appendectomy.
Objective: To identify the possible causes of recurrent appendicitis, as well as the measures related to its prevention.
Methods: A review of the updated literature on the subject was carried out in digital format, in publications in English and Spanish.
Conclusions: Prevention of appendicitis of the stump is based on resecting the appendix less than 0.5 cm from its base; Patients frequently present symptoms similar to those before the first surgery, however, there is an increased risk of peritonitis and serious complications due to delayed diagnosis and therapy; It is a rare cause of abdominal pain in appendectomized patients, so high suspicion should be kept for its early diagnosis and prompt treatment.


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Revista Cubana de Cirugía. 2019;58