Radiology Case Reports (Jul 2022)

Stump appendicitis

  • Chad A. Keller, BE,
  • Rebecca M. Dudley, DO,
  • Elizabeth M. Huycke, DO,
  • Richard B. Chow, DO,
  • Arjumand Ali, MD

DOI
https://doi.org/10.1016/j.radcr.2022.04.034
Journal volume & issue
Vol. 17, no. 7
pp. 2534 – 2536

Abstract

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Stump appendicitis is a rare and late complication following appendectomy and can often be overlooked. Our case details a 42-year-old male who presented to the Emergency Department with right-sided lower abdominal pain, nausea, and vomiting. A computed tomography scan of his abdomen and pelvis demonstrated a tubular, fluid-filled structure with surrounding inflammatory changes at the level of the patient's appendectomy clips with a 2.3-cm calcified intraluminal stone. Findings were concerning for stump appendicitis with appendicolith. He was admitted and taken to the operating room for a laparoscopic stump appendectomy. Stump appendicitis should always be considered in the differential diagnosis to prevent potentially serious complications.

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