Appendiceal stumpitis

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 30 years
Gender: Male
CT

Blind-ending tubular structure arising form the cecal pole with inflammation in the adjacent fat and edematous swelling of the surrounding illeal loops.  Looks like typical appendicitis but the patient has had previous appendectomy 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 cecal lumen with a purse-string suture as was traditional with open appendectomy.

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Case information

rID: 38760
Published: 2nd Aug 2015
Last edited: 21st Nov 2019
Inclusion in quiz mode: Included

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