title: Recurrent right iliac fossa pain in patients with previous appendicectomy.
abstract: Recurrent appendicitis can occur up to 40 years after appendicectomy. A history of appendicectomy has often led to late diagnosis, as sepsis is attributed to other organs, usually the urinary tract. A case of a patient presenting with retained faecolith and recurrent/stump appendicitis 2 years after laparoscopic appendicectomy is presented. The case for having a low threshold for early CT scanning in patients post-appendicectomy presenting with sepsis to prevent delay in diagnosis is made, and this case is a useful reminder for surgeons to dissect as far as possible to the appendix base. The literature including important medicolegal cases is reviewed.
authors.affiliation: Department of General Surgery, Wexham Park Hospital, Slough, Berkshire, UK.
authors.forename: Will
authors.identifier: http://orcid.org/0000-0002-1379-7640
authors.initials: W
authors.lastname: Cobb
authors.affiliation: Department of General Surgery, Wexham Park Hospital, Slough, Berkshire, UK.
authors.forename: Barrie
authors.initials: B
authors.lastname: Keeler
authors.affiliation: Department of General Surgery, Wexham Park Hospital, Slough, Berkshire, UK.
authors.forename: Johan
authors.initials: J
authors.lastname: Aris Chandran
authors.affiliation: Wexham Park Hospital, Slough, Berkshire, UK.
authors.forename: Bob
authors.initials: B
authors.lastname: Soin
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D001062:Appendectomy / Q000009:adverse effects / Q000379:methods; D001064:Appendicitis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000473:pathology*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D018805:Sepsis / Q000150:complications / Q000473:pathology*; D013997:Time Factors; D016896:Treatment Outcome