ABSTRACT

Stump appendicitis is one of the rare delayed complications of appendectomy first described in 2 patients by Rose in 1945. In this study, we report a case of recurrent appendicitis after previous appendectomy. 21 year old female represented to emergency clinic with a 3 day history of abdominal pain. Her physical examination revealed right lower quadrant pain, defance and rebound at right lower quadrant. Her abdominal ultrasonography revealed an inflamed tubular, non compressible, non peristalting, blind ended, 1.5 cm in length structure at right lower quadrant. We performed stump appendicectomy and the pathology revealed acute inflammatory changes. Stump appendicitis is a real entity and should be taken into considerations in the differential diagnosis of right lower quadrant abdominal pain, and even in patients with previous appendectomy or abdominal surgery with incidental appendectomy. High degree of suspicion can help to make a correct diagnosis and a safe treatment.

Keywords: Acute appendicitis, recurrent appendicitis, stump