Stump appendicitis

Stump appendicitis refers to inflammation of the residual appendiceal tissue post appendectomy.

Partial removal of appendix with a residual stump, allows for a chance of recurrent appendicitis. Chances of a partial removal is found to be higher in cases where there is a wrong identification of the cecal appendiceal junction and a retrocecal or subserosal appendix.

Radiographic features

CT scan is more specific than ultrasound for an accurate diagnosis because it excludes other clinical mimics. The findings may be similar to those seen in acute appendicitis including peri cecal inflammatory changes, abscess formation, fluid in the right para colic gutter, cecal wall thickening and an ileocecal mass.

Treatment and prognosis

The treatment of choice is either open or laparoscopic completion of the appendectomy.

 

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Article information

rID: 55907
Section: Pathology
Synonyms or Alternate Spellings:
  • Inflammation of stump appendix

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