title: Recurrent (stump) appendicitis: a case series.
abstract: Stump appendicitis is a rare but serious postoperative complication of an appendectomy. In the emergency department, diagnosticians are likely to rule out appendicitis when a surgical history of an appendectomy is reported. We describe 2 patients in this case series who presented to the emergency department with right lower quadrant abdominal pain and a history of previous appendectomy. Both patients were identified with a remnant appendiceal stump and stump appendicitis. Upon admission to a surgical service, a nonoperative approach in management allowed each patient to stabilize and be discharged after treatment with antibiotics. The purpose of this article is to raise awareness about the diagnosis of stump appendicitis, as well as to discuss the treatments for it.
authors.affiliation: Department of Emergency Medicine, Lehigh Valley Hospital/USF Morsani College of Medicine, CC & I-78, Allentown, PA 18103.
authors.forename: Rolando E
authors.initials: RE
authors.lastname: Rios
authors.affiliation: Department of Emergency Medicine, Lehigh Valley Hospital/USF Morsani College of Medicine, CC & I-78, Allentown, PA 18103.
authors.forename: Kara Mia V
authors.initials: KM
authors.lastname: Villanueva
authors.affiliation: Department of Surgery, Lehigh Valley Hospital/USF Morsani College of Medicine, CC & I-78, Allentown, PA 18103.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Stirparo
authors.affiliation: Department of Emergency Medicine, Lehigh Valley Hospital/USF Morsani College of Medicine, CC & I-78, Allentown, PA 18103. Electronic address: katekane831@gmail.com.
authors.forename: Kathleen E
authors.initials: KE
authors.lastname: Kane
mesh_terms: D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery*; D005260:Female; D006801:Humans; D012008:Recurrence