Stump Appendicitis Status Post Laparoscopic Appendectomy

Khuram Khan, MD, Saqib Saeed, MD, Shantanu Razdan, MD, Farhana Iqbal, MD, Marina Landa, MD, Leaque Ahmed, MD, Paritosh Suman, MD

Department of Surgery, Harlem Hospital Center, Columbia University, New York, New York, USA (Drs Khan, Saeed, Razdan, Ahmed, and Suman).
Department of Pathology, Harlem Hospital Center, Columbia University, New York, New York, USA (Dr Landa).
Department of Internal Medicine, Richmond University Medical Center, Staten Island, New York, USA (Dr Iqbal).

ABSTRACT

Introduction: Appendectomy is one of the most commonly performed surgical procedures in the world. Over time, complications associated with appendectomy have declined. Stump appendicitis is one of the rare delayed complications of appendectomy. It involves infection of the residual appendix tissue that can occur after a patient has undergone appendectomy in which the stump was left behind. Patients present with abdominal pain associated with nausea and vomiting. Computed tomography scanning of the abdomen is diagnostic.

Case Description: We report the case of a 21-year-old man with stump appendicitis status post laparoscopic appen- dectomy at another hospital, which was successfully treated with laparoscopic completion appendectomy.

Key Words: Stump appendicitis, Laparoscopic appendectomy, Residual appendix, Abdominal pain, Completion appendectomy.

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