title: A case of endoscopic removal of a giant appendicolith combined with stump appendicitis.
abstract: Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Du Jin
authors.initials: du J
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Seung Ho
authors.initials: SH
authors.lastname: Choi
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Jong Hoon
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Kyoung Wan
authors.initials: KW
authors.lastname: You
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Geum Soo
authors.initials: GS
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Hyeung Cheol
authors.initials: HC
authors.lastname: Moon
authors.affiliation: Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Gun Young
authors.initials: GY
authors.lastname: Hong
keywords: Appendicolith; Endoscopic removal; Stump appendicitis