Clinical Practice and Cases in Emergency Medicine (Aug 2018)

Stump Appendicitis

  • Alex C. Essenmacher,
  • Emma Nash,
  • Sarah K. Walker,
  • Graeme J. Pitcher,
  • Christopher T. Buresh,
  • T. Shawn Sato

DOI
https://doi.org/10.5811/cpcem.2018.3.37730
Journal volume & issue
Vol. 2, no. 3

Abstract

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Abdominal pain is a frequent problem encountered in the emergency department, and acute appendicitis is a well-recognized diagnosis. Laparoscopic appendectomy has become one of the most common surgical procedures in the United States. Patients with a history of appendectomy may experience recurrent right lower quadrant abdominal pain from an infrequently encountered complication that may occur when the residual appendix becomes obstructed and inflamed. We describe two cases of stump appendicitis in pediatric patients with a review of clinical and imaging findings and surgical management.