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.
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.
- 1. Roberts KE, Starker LF, Duffy AJ, Bell RL, Bokhari J. Stump appendicitis: a surgeon's dilemma. JSLS : Journal of the Society of Laparoendoscopic Surgeons. 15 (3): 373-8. doi:10.4293/108680811X13125733356954 - Pubmed
- 2. Hendahewa R, Shekhar A, Ratnayake S. The dilemma of stump appendicitis - A case report and literature review. International journal of surgery case reports. 14: 101-3. doi:10.1016/j.ijscr.2015.07.017 - Pubmed
- 3. Ismail I, Iusco D, Jannaci M, Navarra GG, Grassi A, Bonomi S, Parpanesi R, Giombi A, Virzì S. Prompt recognition of stump appendicitis is important to avoid serious complications: a case report. Cases journal. 2: 7415. doi:10.4076/1757-1626-2-7415 - Pubmed
The appendix can be affected by numerous inflammatory, infectious and neoplastic conditions:
- appendiceal mucocele
- appendiceal intussusception
neoplasms of the appendix
- appendiceal epithelial neoplasms
- appendiceal neuroendocrine tumours
- appendiceal lymphoma