Stump Appendicitis due to Retained Fecalith after Laparoscopic Surgery
- Resource Type
- Authors
- Olanrewaju Samuel Balogun; Samuel O Nwokocha; Ayomide Makanjuola; Adedapo Olumide Osinowo
- Source
- Nigerian Medical Journal : Journal of the Nigeria Medical Association
- Subject
- Laparoscopic surgery
medicine.medical_specialty
medicine.medical_treatment
Case Report
03 medical and health sciences
0302 clinical medicine
medicine
stump
Postoperative outcome
030212 general & internal medicine
fecalith
business.industry
030503 health policy & services
General Medicine
Abdominal distension
medicine.disease
Appendicitis
intestinal obstruction
Surgery
body regions
surgical procedures, operative
Acute appendicitis
Right iliac fossa pain
Presentation (obstetrics)
Abdominal computed tomography
medicine.symptom
0305 other medical science
business
- Language
- English
- ISSN
- 2229-774X
0300-1652
Stump appendicitis is a rare cause of right iliac fossa pain in patients with a previous history of appendectomy for acute appendicitis. The presentation is often delayed and may pose a clinical diagnostic challenge to the surgeon. More often, a high index of suspicion backed with relevant radiologic investigations is required for diagnosis. Open and laparoscopic appendectomy may be complicated by stump appendicitis. We report our experience in a 49-year-old Nigerian who presented to us with recurrent right iliac fossa pain and abdominal distension of 2 weeks' duration. The patient had laparoscopic appendectomy 1 year prior to presentation to us. A diagnosis of stump appendicitis with small-bowel obstruction was made with an abdominal computed tomography scan. He had an open stump appendectomy and small-bowel adhesiolysis with a good postoperative outcome.