Format

Send to:

Choose Destination
See comment in PubMed Commons below
JSLS. 2011 Jul-Sep;15(3):373-8. doi: 10.4293/108680811X13125733356954.

Stump appendicitis: a surgeon's dilemma.

Author information

  • 1Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, Connecticut 06510, USA. kurt.roberts@yale.edu

Abstract

BACKGROUND:

Stump appendicitis is defined by the recurrent inflammation of the residual appendix after the appendix has been only partially removed during an appendectomy for appendicitis. Forty-eight cases of stump appendicitis were identified in the English literature.

DATABASE:

The institutional CPT codes were evaluated for multiple hits of the appendectomy code, yielding a total of 3 patients. After appropriate approval from an internal review board, a retrospective chart review was completed and all available data extracted. All 3 patients were diagnosed with stump appendicitis, ranging from 2 months to 20 years after the initial procedure. Two patients underwent a laparoscopic and the one an open completion appendectomy. All patients did well and were discharged home in good condition.

CONCLUSION:

Surgeons need a heightened awareness of the possibility of stump appendicitis. Correct identification and removal of the appendiceal base without leaving an appendiceal stump minimizes the risk of stump appendicitis. If a CT scan has been obtained, it enables exquisite delineation of the surrounding anatomy, including the length of the appendiceal remnant. Thus, we propose that unless there are other mitigating circumstances, the completion appendectomy in cases of stump appendicitis should also be performed laparoscopically guided by the CT findings.

PMID:
21985727
[PubMed - indexed for MEDLINE]
PMCID:
PMC3183543
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Ingenta plc Icon for PubMed Central
    Loading ...
    Write to the Help Desk