Acute appendicitis is one of the most common diagnoses in the emergency department. As with other surgical procedures, post-appendectomy complications are numerous and can be either immediate or delayed. Stump appendicitis is an underreported and underrecognized complication that is often diagnosed radiologically while ruling out other diagnoses. We report a case of a 26-year-old male presenting with acute right lower quadrant abdominal pain. Although he initially denied any surgical history, a focused abdominal exam revealed an incisional scar which turned out to be the result of an appendectomy nine years ago. The patient was worked up for alternate causes of right lower quadrant pain. Investigations revealed high inflammatory markers and hematuria. We proceeded with a non-contrast CT scan to rule out vesicoureteric junction stone. Instead, the scan was suggestive of stump appendicitis. The patient was admitted and treated conservatively. Maintaining a high index of suspicion for stump appendicitis, especially in patients with a clinical picture typical of appendicitis but a history of appendectomy, is key to making an early diagnosis and avoiding further complications.
机构:
Department of Gastroenterology, Nanjing Gaochun People’s HospitalDepartment of Gastroenterology, Nanjing Gaochun People’s Hospital
You-Hong Cao
Yi-Min Ma
论文数: 0引用数: 0
h-index: 0
机构:
Department of Gastroenterology, Nanjing Gaochun People’s HospitalDepartment of Gastroenterology, Nanjing Gaochun People’s Hospital
Yi-Min Ma
Feng Qiu
论文数: 0引用数: 0
h-index: 0
机构:
Department of Gastroenterology, Nanjing Gaochun People’s HospitalDepartment of Gastroenterology, Nanjing Gaochun People’s Hospital
Feng Qiu
Xiao-Qi Zhang
论文数: 0引用数: 0
h-index: 0
机构:
Department of Gastroenterology, the Drum Tower Hospital Affiliated to Nanjing UniversityDepartment of Gastroenterology, Nanjing Gaochun People’s Hospital
机构:
Ankura Hosp Women & Children, Dept Pediat, Intens Care Unit, SP Rd, Hyderabad 500003, Telangana, IndiaAnkura Hosp Women & Children, Dept Pediat, Intens Care Unit, SP Rd, Hyderabad 500003, Telangana, India
Chilkar, Sujeet M.
Leelakumar, Venkat
论文数: 0引用数: 0
h-index: 0
机构:
Ankura Hosp Women & Children, Dept Pediat Surg, Hyderabad, Telangana, IndiaAnkura Hosp Women & Children, Dept Pediat, Intens Care Unit, SP Rd, Hyderabad 500003, Telangana, India
Leelakumar, Venkat
Musthyala, Naga Bharati
论文数: 0引用数: 0
h-index: 0
机构:
Ampath Citizens Hosp, Dept Pathol, Hyderabad, Telangana, IndiaAnkura Hosp Women & Children, Dept Pediat, Intens Care Unit, SP Rd, Hyderabad 500003, Telangana, India