Appendiceal stumpitis

Case contributed by Dr Chris O'Donnell

Presentation

Previous laparoscopic appendicectomy. Now right lower quadrant pain with fever.

Patient Data

Age: 30
Gender: Male
Modality: CT

Blind-ending tubular structure arising form the caecal pole with inflammation in the adjacent fat and oedematous swelling of the surrounding illeal loops.  Looks like typical appendicitis but the patient has had previous appendicectomy so represents inflammation in the residual appendiceal stump (thus the term "stumpitis").

Case Discussion

Stumpitis occurs when there is a residual stump of appendix that becomes inflamed, i.e. the stump is not buried or inverted back into the caecal lumen with a purse-string suture as was traditional with open appendicectomy.

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Case Information

rID: 38760
Case created: 2nd Aug 2015
Last edited: 21st Oct 2015
Inclusion in quiz mode: Included

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