Open AccessStump appendicitis due to retained fecalith after laparoscopic surgery
Author(s) -
Olanrewaju Samuel Balogun,
Adedapo Olumide Osinowo,
Ayomide Makanjuola,
Samuel O Nwokocha
Publication year - 2019
Publication title -
nigerian medical journal/nigerian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2229-774X
pISSN - 0300-1652
DOI - 10.4103/nmj.nmj_39_19
Subject(s) - medicine , iliac fossa , appendicitis , presentation (obstetrics) , surgery , appendix , bowel obstruction , abdominal pain , laparoscopic surgery , general surgery , laparoscopy , acute appendicitis , abdominal distension , radiology , paleontology , biology
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.