A rare clinical entity: stump appendicitis. Case report and complete review of literature

doi: 10.7417/CT.2019.2167

  • G. Geraci School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy
  • A. Lena School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy
  • B. D’Orazio School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy
  • B. Cudia School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy
  • S. Rizzuto School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy
  • G. Modica School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy

Abstract

Background
Stump appendicitis is a rare delayed complication post-appendectomy and it represents a diagnostic problem as clinicians are often not very familiar with this pathology.


Materials and Methods
One case of stump appendicitis has been reported in  a 54 year old woman, whose acute phase was conservatively treated in our Department. A review of Medline literature was also carried out, from 1945 to 2015, showing 111 cases of stump appendicitis.


Results
Stump appendicitis has been reported after either open or laparoscopic appendectomy, in a range between days to several years from the first procedure.
Nowadays, it is not considered yet as a possible differential diagnosis in patients with pain in the right iliac fossa previously undergone  appendectomy. For this reason, the diagnosis can be delayed and complications  such as acute abdomen, perforation, sepsis can occur. Completion appendectomy is the treatment of choice for stump appendicitis.


Conclusion
The aim of this article is to underline  the importance of stump appendicitis. Clinicians should be aware of the possibility of SA and they should confirm any clinical suspicion throughout radiologic images, in order to promptly recognize this entity and to avoid the related complications

Published
2019-11-06
How to Cite
GERACI, G. et al. A rare clinical entity: stump appendicitis. Case report and complete review of literature. La Clinica Terapeutica, [S.l.], v. 170, n. 6, p. e409 - e417, nov. 2019. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/517>. Date accessed: 15 nov. 2019.