Stump appendicitis

Case contributed by Dr Maulik S Patel

Presentation

Pain in umbilical region which had shifted to the right lower abdomen over a few days. History of similar episodes during last few months. History of previous laparoscopic appendicectomy about 2 years ago.

Patient Data

Age: 20 years
Gender: Male
Ultrasound

There is a tubular blind ended structure arising from caecum - an appendix. Its length is about 35 mm. It is non-compressible with an out-to-outer wall diameter up to 9 mm. Its lumen is collapsed. There is no collection or fecolith in its lumen. There is a loss of gut signature sign at tip due to previous resection. There is echogenic peri-appendical fat without collection. Caecal wall thickness is normal.

Case Discussion

A young male presented with recurrent right lower abdominal pain along with documented reports of previous laparoscopic appendicetomy. Ultrasound shows an inflammed 'short' appendix which is a stump appendicitis.

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Case information

rID: 55851
Case created: 27th Sep 2017
Last edited: 29th Sep 2017
Inclusion in quiz mode: Included

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