Cervantes CJ, Rojas RG, Baquera J, Ortiz C, Lezama M

Language: Spanish
References: 18
Page: 151-154
PDF size: 169.94 Kb.

ABSTRACT

Purpose: To present a case of residual appendicitis post laparoscopic appendectomy.
Setting: Third level health care hospital.
Case description: A 55 years old female was admitted to the Hospital with right lower quadrant pain, leucocytosis and rebound tenderness 5 months after laparoscopic appendectomy. A CT scan of the abdomen showed a cecal mass with significant reduction of the lumen of the cecum. Surgical exploration revealed an indurated cecal mass which was resected. Reconstruction was by ileo-ascending colon anastomosis with stapplers. The pathologist found a 3 cm residual appendix with acute inflammation within an inflammatory mass with extensive fibrosis. Recovery was normal and she was discharged four days later.
Conclussion: The surgeons performing laparoscopic appendectomies should be more careful in finding the base of the appendix to achieve complete resection, avoiding the complication of residual appendicitis.

REFERENCES

1. Semm K. Endoscopic appendectomy. Endoscopy 1983; 15: 59-64.

2. Leahy PF. Technique of laparoscopic appendicectomy. Br J Surg 1989; 76: 61-6.

3. Bryant LT. Laparoscopic appendectomy: a simplified technique. J Laparoendosc Surg 1992; 2: 343-50.

4. Pier A, Gotz F, Bacher C. Laparoscopic appendectomy in 625 cases: from innovation to routine. Surg Laparosc Endosc 1991; 1: 8-13.

5. Tate JJ, Chung SC, Dawson J, Leong HT, Chan A, Lau WY et al. Conventional versus laparoscopic surgery for acute appendicitis. Br J Surg 1993; 80: 761-4.

6. Hermans BP, Otte JB. Laparoscopic appendectomy: pros & cons-literature review of 4190 cases. Acta Chir Belg 1997; 97: 110-7.

7. Vallina VL, Velasco JM, McCulloch CS. Laparoscopic versus conventional appendectomy. Ann Surg 1993; 218: 685-92.

8. Wright TE, Diaco J. Recurrent appendicitis after laparoscopic appendectomy. Int Surg 1994; 79: 251-2.

9. Mangi AA, Berger DL. Stump appendicitis. Am Surg 2000; 66: 739-41.

10. Milne AA, Bradbury AW. Residual appendicitis following incomplete laparoscopic appendectomy. Br J Surg 1996; 83: 217.

11. Devereaux DA, McDermott JP, Caushaj P. Recurrent appendicitis following laparoscopic appendectomy. Report of a case. Dis Colon Rectum 1994; 37: 719-20.

12. Sommerville PG, Lavelle MA. Residual appendicitis following incomplete laparoscopic appendectomy. Br J Surg 1996; 83: 869.

13. Marcoen S, Onghena T, Van Loon C, Vereecken L. Residual appendicitis following incomplete laparoscopic appendectomy. Acta Chir Belg 1999; 99: 39-40.

14. Greenberg JJ, Esposito TJ. Appendicitis after laparoscopic appendectomy: a warning. J Laparoendosc Surg 1996; 6: 185-7.

15. Wright TE, Diaco JF. Recurrent appendicitis after laparoscopic appendectomy. Int Surg 1994; 79: 251-2.

16. Thompson JE Jr, Bennion RS, Schmit PJ, Hiyama DT. Cecectomy for complicated appendicitis. J Am Coll Surg 1994; 179: 135-8.

17. Poole GV. Management of the difficult appendiceal stump: how I do it. Am Surg 1993; 59: 624-5.

18. Thomas SE, Denning DA, Cummings MH. Delayed pathology of the appendiceal stump: a case report of stump appendicitis and review. Am Surg 1994; 60: 842-4.