title: Stump appendicitis 10 years after appendectomy, a rare, but serious complication of appendectomy, a case report.
abstract: We describe a case of stump appendicitis with the formation of abdominal abscesses in a 41-year-old patient 10 years prior appendectomy. The patient consulted with fever (38.1 °C) and abdominal pain, located at the right iliac fossa. Imaging studies showed signs of abscesses, located at the right iliac fossa, without clear origin of these abscesses. The abscesses were drained through diagnostic laparoscopy, no bowel perforation or clear origin of the abscedation was found during laparoscopy. During postoperative stay, the inflammatory parameters rose and the abscesses reoccurred. Re-laparoscopy was performed, the abscesses were drained and on careful inspection and adhesiolysis, a perforated stump appendicitis was revealed, covered underneath layers of fibrous tissue. Stump appendicitis is a rare complication seen after appendectomy and is generally not considered a possible etiology in patients presenting with fever and right iliac fossa abdominal pain with a history of appendectomy. This often delays the correct diagnosis and results in an associated increased incidence of complications. We describe a case of stump appendicitis occurring 10 years after initial appendectomy.
authors.affiliation: a Department of Abdominal, Thoracic and General Surgery , Monica-Hospital, Campus Middelares , Deurne , Belgium.
authors.forename: Carl
authors.initials: C
authors.lastname: Van Paesschen
authors.affiliation: a Department of Abdominal, Thoracic and General Surgery , Monica-Hospital, Campus Middelares , Deurne , Belgium.
authors.forename: Filip
authors.initials: F
authors.lastname: Haenen
authors.affiliation: a Department of Abdominal, Thoracic and General Surgery , Monica-Hospital, Campus Middelares , Deurne , Belgium.
authors.forename: Raymond
authors.initials: R
authors.lastname: Bestman
authors.affiliation: a Department of Abdominal, Thoracic and General Surgery , Monica-Hospital, Campus Middelares , Deurne , Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Van Cleemput
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D001062:Appendectomy / Q000009:adverse effects*; D001064:Appendicitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013997:Time Factors
keywords: Abdominal surgery; abscess; laparoscopic surgery; right iliac fossa abdominal pain; stump/remnant appendicitis