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Appendiceal stumpitis

Case contributed by Chris O'Donnell
Diagnosis almost certain

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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