Journal of Nepal Medical Association (Aug 2022)

Role of Conservative Management in Stump Appendicitis: A Case Series

  • Nabin Paudyal,
  • Fathmath Asra Saeed,
  • Bijaya Shrestha

DOI
https://doi.org/10.31729/jnma.7578
Journal volume & issue
Vol. 60, no. 253

Abstract

Read online

Stump appendicitis is a rare, delayed complication of appendectomy. It is seen following both open and laparoscopic appendectomy and may occur weeks to years following the initial appendectomy. We report two cases of stump appendicitis seen at our hospital. Both cases were diagnosed based on radiological findings and successfully managed conservatively with antibiotics. Although the usually recommended treatment for stump appendicitis is completion appendectomy, conservative management may be suitable for some patients. This report highlights the possibility of utilizing a conservative approach in the management of stump appendicitis compared to the recommended operative intervention. Awareness of the possibility of stump appendicitis is crucial for early diagnosis and treatment, to prevent potentially catastrophic complications.

Keywords